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Individual

DAVID W. JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10601 N MAY AVE, OKLAHOMA CITY, OK 73120-2612
(405) 286-2688
(405) 849-6152
Mailing address
10601 N MAY AVE, OKLAHOMA CITY, OK 73120-2612
(405) 286-2688
(405) 849-6152

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
22766
OK
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
22766
OK

Other

Enumeration date
03/16/2006
Last updated
08/02/2024
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