DR. Mark D Jackson, OD
NPI #1023015005 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1023015005
- Entity Type
- Individual
- Name
- DR. Mark D Jackson, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Jul 5, 2005
- Last Updated
- May 15, 2023
Practice Location
- Address
- 1250 E MAGNOLIA ST
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80524-2702
- Phone
- (970) 224-0606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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