MARK L JACKSON

PHOENIX, AZ
NPI1114956562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: AZ  15432)
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
DR. MARK L JACKSON M.D.
11209 N TATUM BLVD SUITE 110
PHOENIX, AZ 85028-3091
Phone number: 602-248-8002
Mailing Address
DR. MARK L JACKSON M.D.
PO BOX 14687
SCOTTSDALE, AZ 85267-4687
Phone number: 480-991-8100
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