Garrett J Jackson M.D.

NPI 1336381631 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1336381631
Gender Male
Enumeration Date 04/01/2009
Last Updated 07/15/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
3750 LANDMARK DR
SUITE B
LAFAYETTE IN, 47905-6652, US
Phone (765) 448-7981
Fax (765) 447-4172
Business Location
8333 NAAB RD
SUITE 250
INDIANAPOLIS IN, 46260-5924, US
Phone (317) 396-1300
Fax (317) 329-3040
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Garrett J Jackson M.D. NPI is 1336381631, taxonomy code is 390200000X Garrett J Jackson M.D. physically located at 3750 Landmark Dr, Lafayette IN, 47905-6652. NPI Number Garrett J Jackson M.D. has the Individual type.

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1336381631 NPI number is provided on an as is basis without warranty of any kind. 1336381631 is maintained by the National Plan & Provider Enumeration System. The contents of Garrett J Jackson M.D. are for informational purposes only.