Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID B JACK, MD
ActiveMR. DAVID B JACK, MD is a Obesity Medicine healthcare provider located in DRAPER, Utah. NPI 1255434296 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · DRAPER, UT
Registration Details
- NPI Number
- 1255434296
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2006 (19.962943535871 yrs)
- Last Updated
- Feb 1, 2022
- License
-
168941-1205 (UT)
Practice Information
- Address
-
74 E KIMBALLS LN STE 260DRAPER, UT, 840205009Browse UT providers · Browse ZIP 84020
- Phone
- 8015458480
- Fax
- 8012531602
- Primary Specialty
-
Obesity Medicine
207QB0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.