Organization
MARKUS JACKSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARKUS R JACKSON MD (PRESIDENT)
(706) 288-8683
Entity
Organization
Contact information
Practice address
4016 DALE RD, MODESTO, CA 95356-9268
(706) 288-8683
Mailing address
2412 37TH ST, SACRAMENTO, CA 95817-1302
(706) 288-8683
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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