Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
J RYAN JACKSON, DO
ActiveJ RYAN JACKSON, DO is a Obesity Medicine healthcare provider located in MESA, Arizona. NPI 1346633161 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · MESA, AZ
Registration Details
- NPI Number
- 1346633161
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2015 (11.433332787634 yrs)
- Last Updated
- Sep 5, 2024
- Licenses
-
007930 (AZ)007930 (AZ)
Practice Information
- Address
-
8405 E BASELINE RD STE 104MESA, AZ, 852094376Browse AZ providers · Browse ZIP 85209
- Phone
- 4806743295
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Dermatology
Other Obesity Medicine Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT DAVID GRIEGO | MD | 1679685614 |
| DR. DANIEL PETERSON SKINNER JR. | MD | 1083841225 |
| JENNA WALD | MD | 1003159872 |
| BRIAN WANNER | D.O. | 1982137725 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.