Dr. Jack Robert Stacey III, MD
Dr. Jack Robert Stacey III, MD is a Sports Medicine (Family Medicine) Physician in Oceanside, California. Licensed in Virginia. Registered with an NPI since 2017.
- Licensed in
- VA
- In the registry since
- 2017
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
200 Mercy CirOceanside, CA 92055
Phone: (760) 725-0456
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Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence 0101271348 (VA) |
|---|
Record details
| NPI number | 1700317591 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 23, 2017 |
| Last updated in NPPES | February 6, 2025 |
| Certification date | February 3, 2025 |
| Mailing address | 2616 Cabrillo Pl, Carlsbad, CA 92008-1436 |
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