Jeck, David Todd

Jeck, David Todd is an individual health care provider with primary practice located at 677 N Wilmot Rd , Tucson AZ 85711-2701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Jeck, David Todd can be contacted via phone (520) 795-2889.

Contact Information

Primary practice address
677 N Wilmot Rd Tucson AZ 85711-2701
Phone: (520) 795-2889
Fax: (520) 795-6321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 28748 Arizona
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 28748 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X 28748 Arizona

Profile Details

NPI number 1538130612
LBN Legal business name Jeck, David Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538130612 NPPES
Arizona Other 1538130612 PHYSICIAN INDIVIDUAL NPI
Arizona Other 300130443 PHYSICIAN INDIVIDUAL NPI
Arizona Other 005472 PHYSICIAN INDIVIDUAL NPI
Arizona MEDICAID 689755 PHYSICIAN INDIVIDUAL NPI
Arizona Other ZWCBBM PHYSICIAN INDIVIDUAL NPI
Arizona Other CS7943 PHYSICIAN INDIVIDUAL NPI
Arizona Other 1841261989 PHYSICIAN INDIVIDUAL NPI

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