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Individual

DR. NORRIS JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(702) 460-1720
Mailing address
1599 J ST, GRAND FORKS AFB, ND 58205-6332
(701) 747-5547

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01058697A
IN

Other

Enumeration date
12/13/2006
Last updated
08/21/2023
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