Vaughn D Jackson, Pllc

NPI #1710308952 in La Jara, Colorado

Provider Information

NPI Number
1710308952
Entity Type
Organization
Organization Name
Vaughn D Jackson, Pllc
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Dec 13, 2013
Last Updated
Dec 13, 2013

Practice Location

Address
412 MAIN
ZIP Code
81140
Phone
(719) 274-4500

Authorized Official

Name
DR. VAUGHN D JACKSON, M.D.
Title
SOLE MEMBER
Phone
(719) 274-4500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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