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

DR. DARRYL W. JACKSON, DO

Active

DR. DARRYL W. JACKSON, DO is a Family Medicine healthcare provider located in PRAGUE, Oklahoma. NPI 1801992243 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PRAGUE, OK

Registration Details

NPI Number
1801992243
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2006 (19.912781553521 yrs)
Last Updated
Aug 3, 2010
License
4354 (OK)

Practice Information

Address
1322 KLABZUBA ST
PRAGUE, OK, 748644707
Browse OK providers · Browse ZIP 74864
Phone
4055672295
Fax
4055674905
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PRAGUE, OK

Name Credential NPI
DENNY RAY PARTON DO 1053348821
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.