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Vaughn D Jackson, Pllc
Medical Specialty Clinic/Center in La Jara, Colorado
NPI 1710308952

Vaughn D Jackson, Pllc is a Medical Specialty Clinic/Center based in La Jara, CO and is specialized in Medical Specialty. Vaughn D Jackson, Pllc practices in La Jara, CO. The NPI Number for Vaughn D Jackson, Pllc is 1710308952 and holds a License No. 31351 (Colorado).

The current practice location address for Vaughn D Jackson, Pllc is 412 Main, La Jara, CO and can be reached out via phone at 719-274-4500 and via fax at 719-274-4504.

Location: 412 Main, La Jara, CO, 81140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710308952
Provider Name
Vaughn D Jackson, Pllc
Credential
Provider Entity Type
Organization
Address
412 Main, La Jara, CO, 81140
Phone Number
719-274-4500
Fax Number
719-274-4504
Provider Enumeration Date
12/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
412 Main
City
La Jara
State
Colorado
Zip
81140
Phone Number
719-274-4500
Fax Number
719-274-4504
person
Provider Business Mailing Address Details
Address
412 Main
City
La Jara
State
Colorado
Zip
81140
Phone Number
719-274-4500
Fax Number
719-274-4504
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
31351 (Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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