Shawn Barrett Jackson M,D,

NPI 1730258708 - Pathology - 207ZD0900X

NPI Details
NPI 1730258708
Gender Male
Enumeration Date 11/06/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 E PRIMROSE ST STE 550
SPRINGFIELD MO, 65807-5180, US
Phone (417) 269-4647
Fax
Business Location
1000 E PRIMROSE ST STE 300
SPRINGFIELD MO, 65807-5178, US
Phone (417) 269-4646
Fax
Toxanomy
Taxonomy Code 207ZD0900X
License State Missouri
License Number 2005005716
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According to our database, Shawn Barrett Jackson M,D, NPI is 1730258708, taxonomy code is 207ZD0900X and license number is 2005005716, license state is located at Missouri. Shawn Barrett Jackson M,D, physically located at 1000 E Primrose St Ste 550, Springfield MO, 65807-5180. NPI Number Shawn Barrett Jackson M,D, has the Individual type.

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1730258708 NPI number is provided on an as is basis without warranty of any kind. 1730258708 is maintained by the National Plan & Provider Enumeration System. The contents of Shawn Barrett Jackson M,D, are for informational purposes only.