SASA JACKSON, PA-C
Physician Assistant
Active
Individual
NPI: 1447521539
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 2107 (OK) |
Frequently Asked Questions
NPI 1447521539 is the National Provider Identifier for SASA JACKSON, PA-C, a Physician Assistant provider located in Moore, OK. This NPI was enumerated on January 20, 2012.
SASA JACKSON, PA-C practices at 1400 SE 4TH ST, STE H, Moore, OK 73160.
Quick Facts
- NPI
- 1447521539
- Type
- Individual
- Enumerated
- Jan 20, 2012
- Last Updated
- Jan 20, 2012
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