Dr. Jeffrey Elliot Packer, M.D.
Radiology, Diagnostic Radiology in Fernandina, FL. Individual provider (NPI-1).
NPI number1790760031
StatusActive
Last updated in NPPESAug 16, 2013
Details
- NPI
- 1790760031
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Elliot Packer
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2005
- Last updated
- Aug 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD028565E | PA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 34700 | AZ |
Other names
- Jeff Elliot Packer (Other Name)
Practice location
34 Beach Walker RdFernandina, FL 32034-6600
Phone 952-595-1100 · Fax 612-294-4903
Mailing address
11995 Singletree LnSuite 500
Eden Prairie, MN 55344-5347
Phone 952-595-1301 · Fax 612-294-4903
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