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Individual

SARAH COOPER JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1601 NW 114TH ST STE 345, CLIVE, IA 50325-7036
(515) 222-7337
(515) 222-7340
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7337
(515) 222-7340

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-39615
IA
208000000X
Pediatrics Physician
R71110
AZ

Other

Enumeration date
10/06/2009
Last updated
06/30/2022
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