IndividualActive
David Jack, MD
NPI 1255434296 · Obesity Medicine (Family Medicine) Physician · Draper, UT
Provider details
- NPI number
- 1255434296
- Entity type
- Individual
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 168941-1205 (UT)
Practice location
74 E Kimballs Ln Ste 260
Draper, UT 84020-5009
Phone: (801) 545-8480
Fax: (801) 253-1602
Mailing address
Po Box 198560
Atlanta, GA 30384-1721
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2022-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.