Search › Oklahoma › 207V00000X
Michael Jackson, MD
NPI 1194755793 · on the registry since 2006
Practice
- Address
- 620 S Madison St Ste 304
Enid, OK 73701 - Phone
- (580) 233-6350
- Fax
- (580) 233-6106
- Organisation at this address
- Integris Rural Health Inc
Facial Surgery Center Pllc
Osu Center For Health Sciences
Osu Center For Health Sciences
Integris Bass Baptist Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
- Licence states on file
- KS, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-09
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 Oklahoma