Individual
MS. SALLY FAYRWEATHER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HRN
Contact information
Practice address
3303 E BASELINE RD STE 108, GILBERT, AZ 85234-2739
(480) 590-5833
Mailing address
3303 E BASELINE RD STE 108, GILBERT, AZ 85234-2739
(480) 590-5833
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
12Z3145002055
AZ
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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