Search › Montana › 152W00000X
Rebecca Jackson, OD
NPI 1205819638 · on the registry since 2005
Practice
- Address
- 2510 S Reserve St
Missoula, MT 59801 - Phone
- (406) 251-4579
- Fax
- (406) 251-3285
- Organisation at this address
- Shopko Stores Operating Co Llc
Shopko Stores Operating Co. LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-03-19
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 Montana