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Search › Pennsylvania › 207R00000X

Jackson Walker

NPI 1528695954 · on the registry since 2020

Practice

Address
3509 N Broad St Ste 226
Philadelphia, PA 19140
Phone
(215) 707-9837
Organisation at this address
Pediatric Dental Assoc Ltd
Temple University Hospital
Vna Of Greater Philadelphia
Concentra Health Services, Inc
Temple Faculty Practice Plan Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
266

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-11

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 Pennsylvania