Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON M ZACK, M.D.
ActiveJASON M ZACK, M.D. is a Dermatology healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1255745691 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1255745691
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2014 (12.212090981496 yrs)
- Last Updated
- Jan 30, 2025
- Licenses
-
MD53344 (IA)0101259277 (VA)
Practice Information
- Address
-
4430 MISSOURI AVEFORT LEONARD WOOD, MO, 654739098Browse MO providers · Browse ZIP 65473
- Phone
- 5735961769
- Fax
- 5735961783
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
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.