NPI 1063403020
John M Jacocks, MD
Practice location
- Address
- Fbch - Aviation Medicine Clinic 9300 Dewitt Loop, Fort Belvoir, VA 22060
- Phone
- (571) 231-7334
- Mailing address
- 9815 S Park Cir, Fairfax Station, VA 22039-2908
Registered specialties (2)
Aerospace Medicine Physician
Primary
Family Medicine Physician
Registry record
- NPI
- 1063403020
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Oct 2005
- Record last updated
- 27 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.