Thomas Miles Jackson, MD

NPI #1598765083 in La Junta, Colorado

Provider Information

NPI Number: 1598765083
Entity Type: Individual
Name: Thomas Miles Jackson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jul 26, 2005
Last Updated: May 12, 2010

Practice Location

Address: 2201 SAN JUAN AVE
City: La Junta
State: Colorado
ZIP Code: 81050-3323
Phone: (719) 384-8181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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