MARK JACKSON

FORT YATES, ND
NPI1528289881
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083P0901X Preventive Medicine Public Health & General Preventive Medicine
(Licence: ME  012211)
Enumeration Date2007-05-02
Last Update Date2008-06-27
Business Address
DR. MARK JACKSON MD
10 STANDING ROCK AGENCY AVENUE
FORT YATES, ND 58538
Phone number: 701-854-3831
Mailing Address
DR. MARK JACKSON MD
10 RIVER ROAD
FORT YATES, ND 58538-0179
Phone number: 701-854-3831