Victor Jackson, PA-C
NPI #1568644185 in Coudersport, Pennsylvania
Provider Information
- NPI Number
- 1568644185
- Entity Type
- Individual
- Name
- Victor Jackson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Dec 5, 2007
- Last Updated
- Aug 27, 2009
Practice Location
- Address
- 1001 E 2ND ST
- City
- Coudersport
- State
- Pennsylvania
- ZIP Code
- 16915-8161
- Phone
- (814) 274-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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