Dr Jack Ronald Tacker, MD | |
19160 Front St Ne, Poulsbo, WA 98370 | |
(360) 779-7500 | |
(360) 626-0600 |
Full Name | Dr Jack Ronald Tacker |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 19160 Front St Ne, Poulsbo, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336379403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD00028053 (Washington) | Primary |
Mailing Address | Practice Location Address |
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Dr Jack Ronald Tacker, MD Po Box 127, Poulsbo, WA 98370-0127 Ph: (360) 779-7500 | Dr Jack Ronald Tacker, MD 19160 Front St Ne, Poulsbo, WA 98370 Ph: (360) 779-7500 |
Dr. Michael Sungjin Kong, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 22180 Olympic College Way Nw, Suite 202, Poulsbo, WA 98370 Phone: 360-697-1414 Fax: 360-697-3939 | |
Dr. Ruth Urand, General Practice Medicare: Not Enrolled in Medicare Practice Location: 278 Ne Moe St, Poulsbo, WA 98370 Phone: 360-598-6999 |