DR. Darryl W. Jackson, DO

NPI #1801992243 in Prague, Oklahoma

Provider Information

NPI Number: 1801992243
Entity Type: Individual
Name: DR. Darryl W. Jackson, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Sep 15, 2006
Last Updated: Aug 3, 2010

Practice Location

Address: 1322 KLABZUBA ST
City: Prague
State: Oklahoma
ZIP Code: 74864-4707
Phone: (405) 567-2295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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