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Gregory R Jackson, MD
Diagnostic Radiology Physician in Council Bluffs, Iowa
NPI 1982640090

Gregory R Jackson is a Diagnostic Radiology Physician based in Omaha, IA and is specialized in Diagnostic Radiology. Gregory R Jackson practices in Council Bluffs, IA and has the professional credentials of MD. The NPI Number for Gregory R Jackson is 1982640090 and holds a License No. 17050 (Iowa).

The current practice location address for Gregory R Jackson is 800 Mercy Hospital, Council Bluffs, IA and can be reached out via phone at 712-328-5000.

Location: 800 Mercy Hospital, Council Bluffs, IA, 68104
person
Provider Profile Details
NPI Number
1982640090
Provider Name
Gregory R Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 Mercy Hospital, Council Bluffs, IA, 68104
Phone Number
712-328-5000
Fax Number
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4043109 05 IA
41360 01 IA BCBS
5043109 05 IA
8043109 05 IA
17050 01 NE LICENSE #
207 01 MIDLANDS
26056 01 IA LICENSE #
35534 01 NE BCBS
AJ2110310 01 IA CONTROLLED SUBSTANCE
7043109 05 IA
6043109 05 IA
institution
Provider Business Practice Location Address Details
Address
800 Mercy Hospital
City
State
Zip
51503
Phone Number
712-328-5000
Fax Number
person
Provider Business Mailing Address Details
Address
800 Mercy Hospital
City
State
Zip
51503
Phone Number
712-328-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
17050 (Nebraska)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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