Individual
DR. ROGER L JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 BUTTONWOOD DR STE C, COLUMBIA, MO 65201-3720
(573) 443-0551
(573) 442-2959
Mailing address
2269 E BUFFALO DR, COLUMBIA, MO 65202-6683
(573) 214-0008
(573) 442-2959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8620
MO
Other
Enumeration date
09/15/2006
Last updated
07/09/2007
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