| Dr Jack Ronald Tacker, MD | |
|
19160 Front St Ne, Poulsbo, WA 98370 | |
| (360) 779-7500 | |
| (360) 626-0600 |
| Full Name | Dr Jack Ronald Tacker |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 19160 Front St Ne, Poulsbo, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336379403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD00028053 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Ronald Tacker, MD Po Box 127, Poulsbo, WA 98370-0127 Ph: (360) 779-7500 | Dr Jack Ronald Tacker, MD 19160 Front St Ne, Poulsbo, WA 98370 Ph: (360) 779-7500 |
Dr. Michael Sungjin Kong, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 22180 Olympic College Way Nw, Suite 202, Poulsbo, WA 98370 Phone: 360-697-1414 Fax: 360-697-3939 | |
Dr. Ruth Urand, General Practice Medicare: Not Enrolled in Medicare Practice Location: 278 Ne Moe St, Poulsbo, WA 98370 Phone: 360-598-6999 |