William Jackson, M.D.

NPI #1740530302 in Payette, Idaho

Provider Information

NPI Number: 1740530302
Entity Type: Individual
Name: William Jackson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Sep 11, 2012
Last Updated: Apr 12, 2019

Practice Location

Address: 1441 NE 10TH AVE
City: Payette
State: Idaho
ZIP Code: 83661-5420
Phone: (208) 642-9376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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