Individual
JOSEPH M JACKMOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
691 MURPHY RD STE 220, MEDFORD, OR 97504-4308
(541) 789-4078
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01086762A
IN
Other
Enumeration date
04/30/2020
Last updated
07/19/2024
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