Robert E. Jackson, MD - Boise, ID

Robert E. Jackson, MD

Student in an Organized Health Care Education/Training Program in Boise, Idaho

NPI 1184740045

Robert E. Jackson is a Student in an Organized Health Care Education/Training Program based in Boise, ID. Robert E. Jackson practices in Boise, ID and has the professional credentials of MD. The NPI Number for Robert E. Jackson is 1184740045 and holds a License No. 4301087650 (Idaho).

The current practice location address for Robert E. Jackson is 520 S Eagle Rd, Boise, ID and can be reached out via phone at 208-381-2222.

Location: 520 S Eagle Rd, Boise, ID, 83712-6241

NPI Number

1184740045

Provider Name

Robert E. Jackson

Credential

Provider Entity Type

Individual

Gender

Male

Address

520 S Eagle Rd, Boise, ID, 83712-6241

Phone Number

208-381-2222

Fax Number

Provider Enumeration Date

03/22/2007

Last Update Date

03/09/2024

Address

520 S Eagle Rd

City

Boise

State

Idaho

Zip

83712-6241

Phone Number

208-381-2222

Fax Number

Address

520 S Eagle Rd

City

Boise

State

Idaho

Zip

83712-6241

Phone Number

208-381-2222

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Urology

Speciality

Taxonomy

208800000X

License No.

4301087650 (Michigan)

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

4301087650 (Michigan)

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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