Search › Oklahoma › 207Q00000X
John Jackson, D.O
NPI 1669433546 · on the registry since 2006 · sole proprietor
Practice
- Address
- 410 E Cherokee St
Wagoner, OK 74467 - Phone
- (918) 485-5591
- Fax
- (918) 485-5758
- Organisation at this address
- Jackson Medical Clinic, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-23
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 Oklahoma