DR. Alfred Vaughn D Jackson, MD

NPI #1891746707 in La Jara, Colorado

Provider Information

NPI Number: 1891746707
Entity Type: Individual
Name: DR. Alfred Vaughn D Jackson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 15, 2006
Last Updated: Nov 13, 2013

Practice Location

Address: 416 MAIN STREET
City: La Jara
State: Colorado
ZIP Code: 81140-0272
Phone: (719) 274-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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