Individual
DANIEL RAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1501 N CAMPBELL AVE RM 5304D, TUCSON, AZ 85724-0001
(520) 626-9540
Mailing address
1501 N CAMPELL AVE, ROOM 5304D, TUCSON, AZ 85724-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R82485
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
08/19/2022
Last updated
05/08/2026
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