JOHN A JACKSON

BOISE, ID
NPI1063454122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: ID  M8926)
Enumeration Date2006-06-12
Last Update Date2011-10-13
Business Address
-- JOHN A JACKSON M.D.
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2161
Mailing Address
-- JOHN A JACKSON M.D.
PO BOX 9649
BOISE, ID 83707-4649
Phone number: 208-472-8100
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