Organization
TERESA L JACKSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA L JACKSON MD (PRESIDENT)
(520) 531-0700
Entity
Organization
Contact information
Practice address
1521 E TANGERINE RD, #331, ORO VALLEY, AZ 85755-6225
(520) 531-0700
(520) 531-0705
Mailing address
PO BOX 43100, TUCSON, AZ 85733-3100
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
32627
AZ
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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