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Organization

JACKSON FLANIGAN MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACKSON FLANIGAN M.D. (OWNER/PHYSICIAN)
(740) 435-2896
Entity
Organization

Contact information

Practice address
1432 CLARK ST STE B, CAMBRIDGE, OH 43725-9611
(740) 435-2896
Mailing address
1432 CLARK ST STE B, CAMBRIDGE, OH 43725-9611
(740) 435-2896

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35061527
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0824620
OH
Enumeration date
03/14/2011
Last updated
05/25/2011
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