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

Dr. Stanley K Jack, DO

Individual provider Family Medicine Physician · NPI 1962578948

Dr. Stanley K Jack, DO is a Family Medicine Physician in Boulder, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
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

2995 Baseline Rd Ste 200
Boulder, CO 80303-2318
Phone: (303) 440-8243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 42877 (CO)

Record details

NPI number1962578948
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedNovember 28, 2006
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address2995 Baseline Rd Ste 200, Boulder, CO 80303-2318

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