RANDY JACKSON, PA-C
Physician Assistant
Active
Individual
NPI: 1508825357
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA-028 (ME) |
Frequently Asked Questions
NPI 1508825357 is the National Provider Identifier for RANDY JACKSON, PA-C, a Physician Assistant provider located in Millinocket, ME. This NPI was enumerated on March 21, 2006.
RANDY JACKSON, PA-C practices at 200 SOMERSET ST, SUITE 2, Millinocket, ME 04462.
Quick Facts
- NPI
- 1508825357
- Type
- Individual
- Enumerated
- Mar 21, 2006
- Last Updated
- Feb 11, 2013
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MARK KOWALSKI, M.D.
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RICHARD CABOT, M.D.
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