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John Jackson, MD
NPI 1487689840 · on the registry since 2006 · sole proprietor
Practice
- Address
- 10565 Brunswick Rd
Ste 1
Grass Valley, CA 95945 - Phone
- (530) 272-0501
- Fax
- (530) 272-0571
- Organisation at this address
- Ridge Medical Group Inc.
Ivey Physical Therapy A Professional CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- CA
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 California