Individual
JACKSON TOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 EAST MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-3362
(570) 808-5114
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-3362
(570) 808-5114
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007212
PA
Other
Enumeration date
03/30/2021
Last updated
01/31/2025
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