Richard D Jackson, MD

NPI #1366483406 in Ronks, Pennsylvania

Provider Information

NPI Number: 1366483406
Entity Type: Individual
Name: Richard D Jackson, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 29 EASTBROOK RD
City: Ronks
State: Pennsylvania
ZIP Code: 17572-9769
Phone: (717) 299-5711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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