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Dr. Lenley Bradford Jackson, MD
Emergency Medicine Physician in Gallup, New Mexico
NPI 1568555845

Lenley Bradford Jackson is a Emergency Medicine Physician based in Gallup, NM. Lenley Bradford Jackson practices in Gallup, NM and has the professional credentials of MD. The NPI Number for Lenley Bradford Jackson is 1568555845 and holds a License No. A87877 (New Mexico).

The current practice location address for Lenley Bradford Jackson is 516 East Nizhoni Blvd., Gallup, NM and can be reached out via phone at 505-722-1000 and via fax at 505-726-8740.

Location: 516 East Nizhoni Blvd., Gallup, NM, 87305-1337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568555845
Provider Name
Lenley Bradford Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
516 East Nizhoni Blvd., Gallup, NM, 87305-1337
Phone Number
505-722-1000
Fax Number
505-726-8740
Provider Enumeration Date
10/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036119364 05 IL
R00965 01 IL MEDICARE INDIVIDUAL #
833120 01 IL MEDICARE GROUP #
P00601866 01 IL RAILROAD MEDICARE MEMBER PTAN
CA2264 01 IL RAILROAD MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
516 East Nizhoni Blvd.
City
Gallup
State
New Mexico
Zip
87301-1337
Phone Number
505-722-1000
Fax Number
505-726-8740
person
Provider Business Mailing Address Details
Address
516 East Nizhoni Blvd.
City
Gallup
State
New Mexico
Zip
87301-1337
Phone Number
505-722-1000
Fax Number
505-726-8740
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
036-119364 (Illinois)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A87877 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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