Samantha Jackson MD Pllc

NPI #1275973646 in Hobart, Oklahoma

Provider Information

NPI Number: 1275973646
Entity Type: Organization
Organization Name: Samantha Jackson MD Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: SAMANTHA L JACKSON MD
Primary Specialty: Family Medicine
Enumeration Date: Jul 1, 2013
Last Updated: Jan 16, 2017

Practice Location

Address: 415 W FOREST LN
City: Hobart
State: Oklahoma
ZIP Code: 73651-1645
Phone: (580) 726-2226

Authorized Official

Name: SAMANTHA L JACKSON, M.D.
Title: OWNER
Phone: (580) 726-2226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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