Search › Idaho › 207P00000X
Thomas Jackson, DO
NPI 1134380694 · on the registry since 2008 · sole proprietor
Practice
- Address
- 7 Bitterroot Road
Carmen, ID 83462 - Phone
- (208) 756-8047
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho