Individual
DR. CHRISTOPHER RYAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46277-3411
(317) 887-7000
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01076605A
IN
208600000X
Surgery Physician
BP10043025
TX
Other
Enumeration date
05/24/2012
Last updated
02/15/2022
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