Search › Arizona › 322D00000X
Melvin Jackson
NPI 1831336411 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2415 N 124th Cir
Avondale, AZ 85392 - Phone
- (602) 841-3438
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 322D00000X
322D00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-19
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 Arizona