DR. Edward Leslie Jackson, M.D.
NPI #1174506448 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1174506448
- Entity Type
- Individual
- Name
- DR. Edward Leslie Jackson, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Credential
- M.D.
- Enumeration Date
- Nov 21, 2005
- Last Updated
- Mar 14, 2024
Practice Location
- Address
- 3344 N FUTRALL DR
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-4057
- Phone
- (479) 521-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Critical Care Medicine — Critical Care Medicine |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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