Individual
DEREK JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
7966 W FOOTHILL DR, PEORIA, AZ 85383-2158
(916) 812-6050
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
—
AZ
Other
Enumeration date
04/18/2025
Last updated
04/22/2025
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