Robert Andrew Jackson DPM

NPI 1003895608 - Podiatrist - 213ES0131X

NPI Details
NPI 1003895608
Gender Male
Enumeration Date 01/11/2006
Last Updated 07/20/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
440 PELLIS RD
GREENSBURG PA, 15601-4529, US
Phone (724) 853-9896
Fax (724) 853-9897
Business Location
440 PELLIS RD
GREENSBURG PA, 15601-4529, US
Phone (724) 853-9896
Fax (724) 853-9897
Toxanomy
Taxonomy Code 213ES0131X
License State Pennsylvania
License Number SC2741L
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According to our database, Dr. Robert Andrew Jackson DPM NPI is 1003895608, taxonomy code is 213ES0131X and license number is SC2741L, license state is located at Pennsylvania. Robert Andrew Jackson DPM physically located at 440 Pellis Rd, Greensburg PA, 15601-4529. NPI Number Robert Andrew Jackson DPM has the Individual type.

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1003895608 NPI number is provided on an as is basis without warranty of any kind. 1003895608 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Andrew Jackson DPM are for informational purposes only.