Search › Washington › 207ZP0102X
Daniel Jack, M.D
NPI 1992238331 · on the registry since 2017
Practice
- Address
- 9040 Jackson Ave
Tacoma, WA 98431 - Phone
- (253) 968-2252
- Organisation at this address
- Amc Madigan-Ft Lewis
Kroll Anesthesia Services
Defense Finance & Actg ServInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,223
Additional practice sites
- 11234 Anderson St, Loma Linda, CA
- 15 N Medical Dr Ste 1100, Salt Lake City, UT
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington