Mollie J Jackson DO

NPI 1619135373 - Internal Medicine - 207R00000X

NPI Details
NPI 1619135373
Gender Female
Enumeration Date 05/29/2008
Last Updated 07/22/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
3901 RAINBOW BLVD
DEPARTMENT OF GASTROENTEROLOGY
KANSAS CITY KS, 66160-8500, US
Phone (913) 588-3283
Fax (913) 588-3975
Business Location
3901 RAINBOW BLVD
DEPARTMENT OF GASTROENTEROLOGY
KANSAS CITY KS, 66160-8500, US
Phone (913) 588-3283
Fax (913) 588-3975
Toxanomy
Taxonomy Code 207R00000X
License State Indiana
License Number 02003644
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According to our database, Ms. Mollie J Jackson DO NPI is 1619135373, taxonomy code is 207R00000X and license number is 02003644, license state is located at Indiana. Mollie J Jackson DO physically located at 3901 Rainbow Blvd, Kansas City KS, 66160-8500. NPI Number Mollie J Jackson DO has the Individual type.

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1619135373 NPI number is provided on an as is basis without warranty of any kind. 1619135373 is maintained by the National Plan & Provider Enumeration System. The contents of Mollie J Jackson DO are for informational purposes only.