Organization
JACK D DENVER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK D DENVER MD (OWNER)
(205) 874-9663
Entity
Organization
Contact information
Practice address
1500 SOUTHLAKE PARK, SUITE 150, HOOVER, AL 35244-3352
(205) 874-9663
(205) 874-9667
Mailing address
1500 SOUTHLAKE PARK, SUITE 150, HOOVER, AL 35244-3352
(205) 874-9663
(205) 874-9667
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
04/14/2014
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