Individual
DR. ALFRED JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15001 E OXFORD AVE, AURORA, CO 80014-4186
(303) 693-1550
(303) 693-8309
Mailing address
15001 E OXFORD AVE, AURORA, CO 80014-4186
(303) 693-1550
(303) 693-8309
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
21387
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01213875
—
CO
Enumeration date
01/05/2007
Last updated
08/28/2012
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