RICHARD JACKSON, D.P.M.

Podiatrist

Active Individual
NPI: 1407859424

Practice Address

7601 W JEFFERSON BLVD
Fort Wayne, IN 46804

Phone: (260) 436-8686

Specialties

Specialty Code Primary License
Podiatrist 213E00000X Yes 07000729A (IN)

Frequently Asked Questions

NPI 1407859424 is the National Provider Identifier for RICHARD JACKSON, D.P.M., a Podiatrist provider located in Fort Wayne, IN. This NPI was enumerated on May 23, 2005.
RICHARD JACKSON, D.P.M. practices at 7601 W JEFFERSON BLVD, Fort Wayne, IN 46804.

Quick Facts

NPI
1407859424
Type
Individual
Enumerated
May 23, 2005
Last Updated
Nov 7, 2016

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