Individual
MR. JACKSON ALEXANDER BRUSSSEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13507 E BOSTON ST, CHANDLER, AZ 85225-6079
(602) 377-9728
Mailing address
13507 E BOSTON ST, CHANDLER, AZ 85225-6079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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