Organization
DR JERRY S JACKSON & ASSOCIATES P A
Active
Other names
Dr Jerry S Jackson and Associates P A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY STEPHEN JACKSON DPM (PRESIDENT)
(913) 682-4335
Entity
Organization
Contact information
Practice address
113 DELAWARE ST, SUITE D, LEAVENWORTH, KS 66048-2822
(913) 682-4335
(913) 682-2985
Mailing address
113 DELAWARE ST, SUITE D, LEAVENWORTH, KS 66048-2822
(913) 682-4335
(913) 682-2985
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
145
KS
Other
Enumeration date
09/16/2006
Last updated
06/26/2013
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