Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID A. JACKSON, M.D.
ActiveDAVID A. JACKSON, M.D. is a Internal Medicine healthcare provider located in PINON, Arizona. NPI 1508000480 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · PINON, AZ
Registration Details
- NPI Number
- 1508000480
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2009 (17.133579004247 yrs)
- Last Updated
- Jan 8, 2014
- Licenses
-
35.099840 (OH)35.099840 (OH)
Practice Information
- Address
-
NAVAJO ROUTE 4PINON HEALTH CENTERPINON, AZ, 86510Browse AZ providers · Browse ZIP 86510
- Phone
- 9287259500
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Pediatrics
Other Internal Medicine Providers in PINON, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. VIRGINIA J. VITTOR | M.D. | 1962558197 |
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.