Roy Harper Jackson M.D.

NPI 1669424982 - Internal Medicine - 207R00000X

NPI Details
NPI 1669424982
Gender Male
Enumeration Date 05/16/2006
Last Updated 08/17/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
65 NORTH MADISON AVENUE
SUITE 200
PASADENA CA, 91101-2051, US
Phone (626) 792-4185
Fax (626) 792-7358
Business Location
65 NORTH MADISON AVENUE
SUITE 200
PASADENA CA, 91101-2051, US
Phone (626) 792-4185
Fax (626) 792-7358
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G30184
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According to our database, Roy Harper Jackson M.D. NPI is 1669424982, taxonomy code is 207R00000X and license number is G30184, license state is located at California. Roy Harper Jackson M.D. physically located at 65 North Madison Avenue, Pasadena CA, 91101-2051. NPI Number Roy Harper Jackson M.D. has the Individual type.

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1669424982 NPI number is provided on an as is basis without warranty of any kind. 1669424982 is maintained by the National Plan & Provider Enumeration System. The contents of Roy Harper Jackson M.D. are for informational purposes only.