GARY JACKSON, DO
Internal Medicine
Active
Individual
NPI: 1578692331
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | A-903-90 (NM) |
Frequently Asked Questions
NPI 1578692331 is the National Provider Identifier for GARY JACKSON, DO, a Internal Medicine provider located in Ruidoso, NM. This NPI was enumerated on March 5, 2007.
GARY JACKSON, DO practices at LINCOLN COUNTY MEDICAL CENTER, 211 SUDDERTH, Ruidoso, NM 88345.
Quick Facts
- NPI
- 1578692331
- Type
- Individual
- Enumerated
- Mar 5, 2007
- Last Updated
- Aug 14, 2008
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