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Dr. Rodney Mark Jackson, MD,FAAP
Specialist in Anthem, Arizona
NPI 1619975398

Rodney Mark Jackson is a Specialist based in Anthem, AZ. Rodney Mark Jackson practices in Anthem, AZ and has the professional credentials of MD,FAAP. The NPI Number for Rodney Mark Jackson is 1619975398 and holds a License No. 28940 (Arizona).

The current practice location address for Rodney Mark Jackson is 3654 W Anthem Way, Anthem, AZ and can be reached out via phone at 623-551-0442 and via fax at 623-551-7389.

Location: 3654 W Anthem Way, Anthem, AZ, 85086-0455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619975398
Provider Name
Rodney Mark Jackson
Credential
MD,FAAP
Provider Entity Type
Individual
Gender
Male
Address
3654 W Anthem Way, Anthem, AZ, 85086-0455
Phone Number
623-551-0442
Fax Number
623-551-7389
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
576077 05 AZ
institution
Provider Business Practice Location Address Details
Address
3654 W Anthem Way
City
Anthem
State
Arizona
Zip
85086-0455
Phone Number
623-551-0442
Fax Number
623-551-7389
person
Provider Business Mailing Address Details
Address
3654 W Anthem Way
City
Anthem
State
Arizona
Zip
85086-0455
Phone Number
623-551-0442
Fax Number
623-551-7389
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
28940 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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