Jason Alan Zacks MD

NPI 1093710626 - Family Medicine - 207Q00000X

NPI Details
NPI 1093710626
Gender Male
Enumeration Date 06/20/2005
Last Updated 08/16/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
1920 FAIRVIEW AVE
DOTHAN AL, 36301-3008, US
Phone (334) 678-1400
Fax (334) 678-1432
Business Location
1920 FAIRVIEW AVE
DOTHAN AL, 36301-3008, US
Phone (334) 678-1400
Fax (334) 678-1432
Toxanomy
Taxonomy Code 207Q00000X
License State Alabama
License Number 24494
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According to our database, Dr. Jason Alan Zacks MD NPI is 1093710626, taxonomy code is 207Q00000X and license number is 24494, license state is located at Alabama. Jason Alan Zacks MD physically located at 1920 Fairview Ave, Dothan AL, 36301-3008. NPI Number Jason Alan Zacks MD has the Individual type.

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1093710626 NPI number is provided on an as is basis without warranty of any kind. 1093710626 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Alan Zacks MD are for informational purposes only.