Jackson Podiatry, INC

NPI #1306041744 in Youngstown, Ohio

Provider Information

NPI Number: 1306041744
Entity Type: Organization
Organization Name: Jackson Podiatry, INC
Primary Specialty: Podiatrist - Foot Surgery
Enumeration Date: Jun 16, 2007
Last Updated: Dec 28, 2018

Practice Location

Address: 1201 BELMONT AVE
City: Youngstown
State: Ohio
ZIP Code: 44504
Phone: (330) 333-3365

Authorized Official

Name: DR. DERRICK O JACKSON, DPM
Title: PODIATRIST
Phone: (330) 398-3777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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