Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BILLY MICHAEL JACKSON, MD
ActiveDR. BILLY MICHAEL JACKSON, MD is a General Surgery healthcare provider located in LOS ALAMOS, New Mexico. NPI 1629076864 is currently active in the NPPES registry. Verify at CMS.
General Surgery · LOS ALAMOS, NM
Registration Details
- NPI Number
- 1629076864
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2005 (21.107364759086 yrs)
- Last Updated
- Apr 16, 2008
- License
-
72160 (NM)
Practice Information
- Address
-
3917 WEST RDSUITE 150LOS ALAMOS, NM, 87544Browse NM providers · Browse ZIP 87544
- Phone
- 5056624351
- Fax
- 5056624351
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in LOS ALAMOS, NM
| Name | Credential | NPI |
|---|---|---|
| JUSTIN GREEN | — | 1114966462 |
| DR. RODNEY JAY BARKER | MD | 1023178530 |
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.