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Jackson Duane Law, DPM
Student in an Organized Health Care Education/Training Program in Tucson, Arizona
NPI 1114507795

Jackson Duane Law is a Student in an Organized Health Care Education/Training Program based in Glendale, AZ. Jackson Duane Law practices in Tucson, AZ and has the professional credentials of DPM. The NPI Number for Jackson Duane Law is 1114507795 and holds a License No. (Arizona).

The current practice location address for Jackson Duane Law is 3601 S 6Th Ave, Tucson, AZ and can be reached out via phone at 520-792-1145.

Location: 3601 S 6Th Ave, Tucson, AZ, 85308-6993
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114507795
Provider Name
Jackson Duane Law
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3601 S 6Th Ave, Tucson, AZ, 85308-6993
Phone Number
520-792-1145
Fax Number
Provider Enumeration Date
04/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3601 S 6Th Ave
City
Tucson
State
Arizona
Zip
85723-0001
Phone Number
520-792-1145
Fax Number
person
Provider Business Mailing Address Details
Address
3601 S 6Th Ave
City
Tucson
State
Arizona
Zip
85723-0001
Phone Number
520-792-1145
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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