Individual
DR. HAROLD G. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6600 BRUCEVILLE RD, DEPARTMENT OF ORTHOPAEDICS, SACRAMENTO, CA 95823-4671
(916) 688-2030
Mailing address
6600 BRUCEVILLE RD, DEPARTMENT OF ORTHOPAEDICS, SACRAMENTO, CA 95823-4671
(916) 688-2030
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
207X00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A463670
—
CA
Enumeration date
11/01/2006
Last updated
07/08/2007
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