Mr. Donald Ray Jack, MD
Mr. Donald Ray Jack, MD is a Basic Emergency Medical Technician in Hollywood, California. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2010
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1644 Wilcox AveHollywood, CA 90028-6206
Phone: (424) 202-0322
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Basic Emergency Medical Technician (primary) | Taxonomy 146N00000X · Licence 12521464546464 (KY) |
|---|
Record details
| NPI number | 1497079875 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2010 |
| Last updated in NPPES | March 15, 2010 |
| Mailing address | 180 E. Providencia Ave., Burbank, CA 91205 |