Individual
DAVID ALAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 865-1200
(513) 558-5791
Mailing address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 865-1307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.150662
OH
Other
Enumeration date
04/03/2021
Last updated
07/01/2025
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