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Individual
DR. MICHAEL VINCENT JACKSON
Active
Individual
DR. MICHAEL VINCENT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4867
NV
207RP1001X
Pulmonary Disease Physician
4867
NV
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4867
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016249
—
NV
Enumeration date
11/29/2005
Last updated
12/20/2017
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