Search › Nevada › 207P00000X

Michael Jackson, M.D

NPI 1437131331 · on the registry since 2005

Practice

Address
11103 Kilkerran Ct
Las Vegas, NV 89141
Phone
(702) 614-4576
Fax
(702) 614-4576

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Nevada