Individual
DAVID STEVEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-7505
Mailing address
3376 E STONEHILL LN, SALT LAKE CITY, UT 84121-5864
(801) 647-3394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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