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Search › Indiana › 213E00000X

Richard Jackson, D.P.M

NPI 1407859424 · on the registry since 2005

Practice

Address
7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone
(260) 436-8686
Fax
(260) 486-8585
Organisation at this address
Fort Wayne Orthopaedics Llc
Fort Wayne Orthopaedics, Llc
Orthopaedics-Indianapolis, Inc
Orthopaedics-Indianapolis, Inc.
Fort Wayne Orthopaedics, Llc Surgicenter
Inferred from a shared address, not stated in the registry.
Clinicians at this address
97

Registry record

Primary taxonomy
213E00000X
213E00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-07

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 Indiana