Organization
ORTHOPEDIC SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FRANKLIN JACKSON II D.O. (PRESIDENT)
(765) 662-3300
Entity
Organization
Contact information
Practice address
1389 N BALDWIN AVE, MARION, IN 46952-1913
(765) 662-3300
(765) 651-4282
Mailing address
1389 N BALDWIN AVE, MARION, IN 46952-1913
(765) 662-3300
(765) 651-4282
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100352320
—
IN
Enumeration date
02/27/2007
Last updated
08/19/2009
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