DR. Susan Marie Jackson, D.O.

NPI #1780749671 in Hallstead, Pennsylvania

Provider Information

NPI Number: 1780749671
Entity Type: Individual
Name: DR. Susan Marie Jackson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Dec 22, 2006
Last Updated: May 8, 2013

Practice Location

Address: 25066 SR 11
City: Hallstead
State: Pennsylvania
ZIP Code: 18822
Phone: (570) 879-5249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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