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Individual

ADAM B JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
2045 FRANKLIN ST, DEPARTMENT OF INFECTIOUS DISEASES, DENVER, CO 80205-5437
(303) 861-3471
Mailing address
2045 FRANKLIN ST, DEPARTMENT OF INFECTIOUS DISEASES, DENVER, CO 80205-5437
(303) 861-3471

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15694
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011378
KAISER-COMMERCIAL NUMBER
Enumeration date
02/27/2007
Last updated
07/08/2007
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