Jack M Dutzar, MD
Family Medicine in Seattle, WA. Individual provider (NPI-1).
NPI number1902932452
StatusActive
Last updated in NPPESOct 29, 2007
Details
- NPI
- 1902932452
- Entity type
- Individual (NPI-1)
- Name
- Jack M Dutzar
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Oct 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00016477 | WA | Yes |
Practice location
521 Wall StSeattle, WA 98121-1524
Phone 206-448-5848
Mailing address
Po Box 34584Seattle, WA 98124-1584
Phone 509-241-7349 · Fax 509-241-7628
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