MR. Bruce L Jackson, P.A.
NPI #1124072087 in Apple Valley, California
Provider Information
- NPI Number
- 1124072087
- Entity Type
- Individual
- Name
- MR. Bruce L Jackson, P.A.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.
- Enumeration Date
- May 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15863 KASOTA RD
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307-4507
- Phone
- (760) 948-1454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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