MATT JACKSON, M.D.
Emergency Medicine
Active
Individual
NPI: 1538199187
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Emergency Medicine | 207P00000X | Yes | - |
Frequently Asked Questions
NPI 1538199187 is the National Provider Identifier for MATT JACKSON, M.D., a Emergency Medicine provider located in Peoria, IL. This NPI was enumerated on July 3, 2006.
MATT JACKSON, M.D. practices at 530 NE GLEN OAK AVE, Peoria, IL 61637.
Quick Facts
- NPI
- 1538199187
- Type
- Individual
- Enumerated
- Jul 3, 2006
- Last Updated
- Jul 8, 2007
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