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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROBERT WAYNE JACKSON, D.O.

Active

DR. ROBERT WAYNE JACKSON, D.O. is a Rheumatology healthcare provider located in MEMPHIS, Missouri. NPI 1730293705 is currently active in the NPPES registry. Verify at CMS.

Rheumatology · MEMPHIS, MO

Registration Details

NPI Number
1730293705
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2006 (20.023260359265 yrs)
Last Updated
Jul 8, 2007
License
R6C73 (MO)

Practice Information

Address
SIGLER AVE
MEMPHIS, MO, 63555
Browse MO providers · Browse ZIP 63555
Phone
6604652828
Fax
6604652820
Primary Specialty
Rheumatology
207RR0500X
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.