Dennis M Jackson MD INC
NPI #1194969220 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1194969220
- Entity Type
- Organization
- Organization Name
- Dennis M Jackson MD INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 20, 2009
- Last Updated
- Apr 20, 2009
Practice Location
- Address
- 460 SAINT MICHAELS DR
- Address 2
- #1005
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-7619
- Phone
- (505) 490-9738
Authorized Official
- Name
- DENNIS M JACKSON, MD
- Title
- PRESIDENT
- Phone
- (505) 490-9738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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