Individual
DR. RAYMOND WILLIAM JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 OAK ST, STERLING MEDICAL ASSOCIATES, CINCINNATI, OH 45219-2598
(513) 984-1800
(513) 984-4909
Mailing address
300 S JULIANA ST, BEDFORD, PA 15522-1736
(814) 623-7279
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD026205E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D795479
—
PA
Enumeration date
10/01/2006
Last updated
07/08/2007
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