Jason M Zack, MD | |
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
(573) 596-1769 | |
(573) 596-1783 |
Full Name | Jason M Zack |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255745691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 0101259277 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jason M Zack, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1769 | Jason M Zack, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1769 |
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