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Larry A. Jackson, Md Pc
General Practice Physician in Springfield, Oregon
NPI 1134565849

Larry A. Jackson, Md Pc is a General Practice Physician based in Springfield, OR. Larry A. Jackson, Md Pc practices in Springfield, OR. The NPI Number for Larry A. Jackson, Md Pc is 1134565849 and holds a License No. 08513 (Oregon).

The current practice location address for Larry A. Jackson, Md Pc is 1717 Centennial Blvd, Springfield, OR and can be reached out via phone at 541-726-0550 and via fax at 541-726-7485.

Location: 1717 Centennial Blvd, Springfield, OR, 97477-3378
institution
Provider Profile Details
NPI Number
1134565849
Provider Name
Larry A. Jackson, Md Pc
Credential
Provider Entity Type
Organization
Address
1717 Centennial Blvd, Springfield, OR, 97477-3378
Phone Number
541-726-0550
Fax Number
541-726-7485
Provider Enumeration Date
05/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1717 Centennial Blvd
City
State
Zip
97477-3378
Phone Number
541-726-0550
Fax Number
541-726-7485
person
Provider Business Mailing Address Details
Address
1717 Centennial Blvd
City
State
Zip
97477-3378
Phone Number
541-726-0550
Fax Number
541-726-7485
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
08513 (Oregon)
Definition
Definition to come...
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