Organization
JACK HAWKS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK HAWKS DO (PHYSICIAN)
(623) 849-3811
Entity
Organization
Contact information
Practice address
9191 W THUNDERBIRD ROAD, D 105, PEORIA, AZ 85381
(623) 849-3811
(623) 849-5221
Mailing address
9191 W THUNDERBIRD ROAD, D 105, PEORIA, AZ 85381
(623) 849-3811
(623) 849-5221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4049
AZ
Other
Enumeration date
04/10/2007
Last updated
01/20/2011
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