Sam Jackson M.D.

NPI 1083812366 - Emergency Medicine - 207P00000X

NPI Details
NPI 1083812366
Gender Male
Enumeration Date 07/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
925 E MCDOWELL RD
FLOOR 2
PHOENIX AZ, 85006-2502, US
Phone (602) 239-2280
Fax (602) 239-4138
Business Location
925 E MCDOWELL RD
FLOOR 2
PHOENIX AZ, 85006-2502, US
Phone (602) 239-2280
Fax (602) 239-4138
Toxanomy
Taxonomy Code 207P00000X
License State Arizona
License Number 35554
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According to our database, Dr. Sam Jackson M.D. NPI is 1083812366, taxonomy code is 207P00000X and license number is 35554, license state is located at Arizona. Sam Jackson M.D. physically located at 925 E Mcdowell Rd, Phoenix AZ, 85006-2502. NPI Number Sam Jackson M.D. has the Individual type.

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1083812366 NPI number is provided on an as is basis without warranty of any kind. 1083812366 is maintained by the National Plan & Provider Enumeration System. The contents of Sam Jackson M.D. are for informational purposes only.