IndividualActive
Jack Oak, MD
NPI 1326269648 · Vascular Surgery Physician · Bridgeton, MO
Provider details
- NPI number
- 1326269648
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2003009197 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12266 De Paul Dr Ste 305
Bridgeton, MO 63044-2514
Phone: (314) 770-0991
Approximate (ZIP-level) locationGet directions
Mailing address
660 S Euclid Ave
Saint Louis, MO 63110-1010
Additional practice locations (1)
- 555 N New Ballas RdDiv Surg Vascular, Ste 265Saint Louis, MO 63141-6825Phone: (314) 991-4644Fax: (314) 991-4910
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.