MR. BRUCE JACKSON, P.A.
Physician Assistant - Medical
Active
Individual
NPI: 1124072087
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA14185 (CA) |
Frequently Asked Questions
NPI 1124072087 is the National Provider Identifier for MR. BRUCE JACKSON, P.A., a Physician Assistant - Medical provider located in Apple Valley, CA. This NPI was enumerated on May 22, 2006.
MR. BRUCE JACKSON, P.A. practices at 15863 KASOTA RD, Apple Valley, CA 92307.
Quick Facts
- NPI
- 1124072087
- Type
- Individual
- Enumerated
- May 22, 2006
- Last Updated
- Jul 8, 2007
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