Individual
MICHAEL DARREN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6644 E. BAYWOOD AVE., BANNER BAYWOOD EMERGENCY DEPARTMENT, MESA, AZ 85206
(480) 321-0183
(480) 321-0402
Mailing address
5000 HOPYARD ROAD, SUITE 100, TEAM HEALTH, INC., PLEASANTON, CA 94588
(800) 617-7717
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1987
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371956
—
AZ
Enumeration date
02/10/2006
Last updated
07/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us