Individual
DR. GABRIEL E JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9070 E 56TH ST, BROWNSBURG, IN 46112-7074
(317) 268-3600
(317) 268-3399
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01062266A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01062266A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200860260
—
IN
Enumeration date
09/12/2006
Last updated
05/20/2024
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