| Buck Jack, Llc | |
|
3901 E Yale Ave Denver CO 80210-6646 | |
| (719) 597-0822 | |
| Not Available |
| Full Name | Buck Jack, Llc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 3901 E Yale Ave, Denver, Colorado |
| Authorized Official Name and Position | Tanner Hall (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7194281840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buck Jack, Llc 2233 Academy Pl Ste 200 Colorado Springs CO 80909-1666 Ph: (719) 597-0822 | Buck Jack, Llc 3901 E Yale Ave Denver CO 80210-6646 Ph: (719) 597-0822 |
| NPI Number | 1124872809 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124872809 | NPI | - | NPPES |
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