Alison W Jackson M.D.

NPI 1063565810 - Family Medicine - 207Q00000X

NPI Details
NPI 1063565810
Gender Female
Enumeration Date 01/18/2007
Last Updated 07/24/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
3577 MAIN AVE
DURANGO CO, 81301-4028, US
Phone (970) 247-8008
Fax (970) 247-8006
Business Location
3577 MAIN AVE
DURANGO CO, 81301-4028, US
Phone (970) 247-8008
Fax (970) 247-8006
Toxanomy
Taxonomy Code 207Q00000X
License State Colorado
License Number 34888
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According to our database, Alison W Jackson M.D. NPI is 1063565810, taxonomy code is 207Q00000X and license number is 34888, license state is located at Colorado. Alison W Jackson M.D. physically located at 3577 Main Ave, Durango CO, 81301-4028. NPI Number Alison W Jackson M.D. has the Individual type.

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1063565810 NPI number is provided on an as is basis without warranty of any kind. 1063565810 is maintained by the National Plan & Provider Enumeration System. The contents of Alison W Jackson M.D. are for informational purposes only.