Search › New Mexico › 207Q00000X
Neil Jackson, M.D
NPI 1598170193 · on the registry since 2014
Practice
- Address
- 2022 E Aztec Ave
Gallup, NM 87301 - Phone
- (505) 397-5172
- Organisation at this address
- Santa Fe Recovery Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-05
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 New Mexico