LARRY A. JACKSON, MD PC

SPRINGFIELD, OR
NPI1134565849
Entity TypeOrganization
Authorized ContactLARRY ARTHUR JACKSON
President
541-726-0550
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: OR  08513)
Enumeration Date2013-05-21
Last Update Date2013-05-21
Business Address
LARRY A. JACKSON, MD PC
1717 CENTENNIAL BLVD SUITE 7
SPRINGFIELD, OR 97477-3378
Phone number: 541-726-0550
Mailing Address
LARRY A. JACKSON, MD PC
1717 CENTENNIAL BLVD SUITE 7
SPRINGFIELD, OR 97477-3378
Phone number: 541-726-0550