Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK L FOREST, D.O.
ActiveGeneral Surgery · MARYVILLE, MO
Registration Details
- NPI Number
- 1679560775
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2005 (20.58876651354 yrs)
- Last Updated
- Jan 6, 2017
- License
-
049972 (VA)
Practice Information
- Address
-
2016 S MAIN STMARYVILLE, MO, 644682655Browse MO providers · Browse ZIP 64468
- Phone
- 6605622600
- Fax
- 6605627911
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in MARYVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES E. BRADLEY | M.D. | 1053313015 |
| DR. MANUEL W. RUNEZ | M.D. | 1356345771 |
| SHELLIE KATHLEEN FARIS | MD | 1174743884 |
| ADON HARRIS | MD | 1417448507 |
| ANTHONY PAUL MELILLO | — | 1346703998 |
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.