Individual provider · Type 1 NPI

Jon Phillip Wack, MD

Diagnostic Radiology Physician · San Francisco, CA

NPI number 1609819622 Active

Practice location

3700 California St
San Francisco, CA 94118-1618

Mailing address

P.o. Box 6102
Novato, CA 94948-6102

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XA23313 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1609819622

Jon Phillip Wack, MD's National Provider Identifier is 1609819622, issued on Jun 14, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Francisco, CA. The record was last updated on Feb 5, 2009.