John Claude Jackson, D.O.

NPI #1669433546 in Wagoner, Oklahoma

Provider Information

NPI Number: 1669433546
Entity Type: Individual
Name: John Claude Jackson, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Mar 30, 2006
Last Updated: Mar 23, 2017

Practice Location

Address: 410 E CHEROKEE ST
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4708
Phone: (918) 485-5591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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