Wesley Gordon Jackson M.D.

NPI 1073511127 - Surgery - 208600000X

NPI Details
NPI 1073511127
Gender Male
Enumeration Date 07/12/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2441 SAMPLE AVE
CLOVIS CA, 93611-5495, US
Phone (559) 323-9330
Fax
Business Location
2441 SAMPLE AVE
CLOVIS CA, 93611-5495, US
Phone (559) 323-9330
Fax
Toxanomy
Taxonomy Code 208600000X
License State California
License Number G35382
Remove 1073511127 NPI Number
 

According to our database, Dr. Wesley Gordon Jackson M.D. NPI is 1073511127, taxonomy code is 208600000X and license number is G35382, license state is located at California. Wesley Gordon Jackson M.D. physically located at 2441 Sample Ave, Clovis CA, 93611-5495. NPI Number Wesley Gordon Jackson M.D. has the Individual type.

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1073511127 NPI number is provided on an as is basis without warranty of any kind. 1073511127 is maintained by the National Plan & Provider Enumeration System. The contents of Wesley Gordon Jackson M.D. are for informational purposes only.