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Dr. David Bruce Jackson, MD
Diagnostic Radiology Physician in Chino Hills, California
NPI 1063564748

David Bruce Jackson is a Diagnostic Radiology Physician based in Chino Hills, CA and is specialized in Diagnostic Radiology. David Bruce Jackson practices in Chino Hills, CA and has the professional credentials of MD. The NPI Number for David Bruce Jackson is 1063564748 and holds a License No. G68901 (California).

The current practice location address for David Bruce Jackson is 3233 Grand Ave # N415, Chino Hills, CA and can be reached out via phone at 626-821-5903.

Location: 3233 Grand Ave # N415, Chino Hills, CA, 91709-1489
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063564748
Provider Name
David Bruce Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3233 Grand Ave # N415, Chino Hills, CA, 91709-1489
Phone Number
626-821-5903
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01433610 01 CA RAILROAD MEDICARE
1063564748 05 CA
institution
Provider Business Practice Location Address Details
Address
3233 Grand Ave # N415
City
Chino Hills
State
California
Zip
91709-1489
Phone Number
626-821-5903
Fax Number
person
Provider Business Mailing Address Details
Address
3233 Grand Ave # N415
City
Chino Hills
State
California
Zip
91709-1489
Phone Number
626-821-5903
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G68901 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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