Organization
DAVID B JACK MD PC
Active
Other names
Lone Peak Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B JACK MD (PRESIDENT)
(801) 576-8855
Entity
Organization
Contact information
Practice address
11760 S 700 E STE 111, DRAPER, UT 84020-6605
(801) 576-8855
(801) 576-9800
Mailing address
11760 S 700 E STE 111, DRAPER, UT 84020-6605
(801) 576-8855
(801) 576-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/06/2009
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