Atiba Diarra Jackson, M.D.

NPI #1033329990 in Dayton, Ohio

Provider Information

NPI Number: 1033329990
Entity Type: Individual
Name: Atiba Diarra Jackson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: May 22, 2007
Last Updated: Sep 16, 2016

Practice Location

Address: 4160 LITTLE YORK RD
Address 2: STE 10
City: Dayton
State: Ohio
ZIP Code: 45414-5803
Phone: (937) 415-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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