Individual provider · Type 1 NPI
Jeffrey Elliot Packer, MD
Diagnostic Radiology Physician · Fernandina, FL
NPI number
1790760031
Active
Practice location
34 Beach Walker Rd
Fernandina, FL 32034-6600
Fax (612) 294-4903
Mailing address
11995 Singletree Ln, Suite 500
Eden Prairie, MN 55344-5347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 34700 (AZ) |
| Diagnostic Radiology Physician Primary | 2085R0202X | MD028565E (PA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1790760031
Jeffrey Elliot Packer, MD's National Provider Identifier is 1790760031, issued on Dec 9, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fernandina, FL. The record was last updated on Aug 16, 2013.