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Bruce Jackson, DDS
NPI 1851430532 · on the registry since 2007
Practice
- Address
- 111 Lilac Dr
Liberal, KS 67901 - Phone
- (620) 624-0196
- Fax
- (620) 624-2443
- Organisation at this address
- Rachow Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Kansas