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Dr. Mark K Jackson, MD
Diagnostic Radiology Physician in Oswego, New York
NPI 1063405538

Mark K Jackson is a Diagnostic Radiology Physician based in Oswego, NY and is specialized in Diagnostic Radiology. Mark K Jackson practices in Oswego, NY and has the professional credentials of MD. The NPI Number for Mark K Jackson is 1063405538 and holds a License No. 196101 (New York).

The current practice location address for Mark K Jackson is 110 W 6Th St, Oswego, NY and can be reached out via phone at 315-349-5000.

Location: 110 W 6Th St, Oswego, NY, 13126-3031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063405538
Provider Name
Mark K Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
110 W 6Th St, Oswego, NY, 13126-3031
Phone Number
315-349-5000
Fax Number
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01880015 05 NY
institution
Provider Business Practice Location Address Details
Address
110 W 6Th St
City
Oswego
State
New York
Zip
13126-2507
Phone Number
315-349-5000
Fax Number
person
Provider Business Mailing Address Details
Address
110 W 6Th St
City
Oswego
State
New York
Zip
13126-2507
Phone Number
315-349-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
196101 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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