SearchColorado103TC2200X

Bradley Jackson, PHD

NPI 1699217778 · on the registry since 2016 · sole proprietor

Practice

Address
13123 E 16th Ave # 245
Aurora, CO 80045
Phone
(720) 777-6662
Fax
(720) 777-7270

Registry record

Primary taxonomy
103TC2200X
103TC2200X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-07

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 Colorado