Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Garrett Widman, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306537279

Dr. Jack Garrett Widman, DO is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181
Phone: (702) 853-3561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1306537279
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023

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