DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STANLEY K JACK, D.O.

Active Sole Proprietor

DR. STANLEY K JACK, D.O. is a Family Medicine healthcare provider located in BOULDER, Colorado. NPI 1962578948 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BOULDER, CO

Registration Details

NPI Number
1962578948
Provider Type
Individual
Gender
Male
NPI Issued
Nov 28, 2006 (19.727063413179 yrs)
Last Updated
May 5, 2025
License
42877 (CO)
Sole Proprietor
Yes

Practice Information

Address
2995 BASELINE RD STE 200
BOULDER, CO, 803032318
Browse CO providers · Browse ZIP 80303
Phone
3034408243
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BOULDER, CO

Name Credential NPI
ZARA PAULETTE FRANKEL MD 1437141017
MYRA BETH TUCKERMAN MD 1831184381
DEAN J BEASLEY M.D. 1295718633
WILLIAM V BURTON M.D. 1871576991
FRANCES I HAMILTON M.D. 1407839137
RICHARD SCOTT DAARUD M.D. 1558344275
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.