David Ira Jackson, PA
NPI #1013950302 in Patchogue, New York
Provider Information
- NPI Number
- 1013950302
- Entity Type
- Individual
- Name
- David Ira Jackson, PA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jun 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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