Individual
DR. SAM JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 E MCDOWELL RD, FLOOR 2, PHOENIX, AZ 85006-2502
(602) 239-2280
(602) 239-4138
Mailing address
925 E MCDOWELL RD, FLOOR 2, PHOENIX, AZ 85006-2502
(602) 239-2280
(602) 239-4138
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35554
AZ
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
77351
AZ
Other
Enumeration date
07/06/2007
Last updated
09/11/2025
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