DR. Troy Wayne Jackson, D.C.

NPI #1295779841 in Edmond, Oklahoma

Provider Information

NPI Number: 1295779841
Entity Type: Individual
Name: DR. Troy Wayne Jackson, D.C.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jun 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3801 SOUTH BOULEVARD ST.
City: Edmond
State: Oklahoma
ZIP Code: 73013-5473
Phone: (405) 330-6655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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