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Alfred Vaughn Jackson, MD
NPI 1891746707 · on the registry since 2006 · sole proprietor
Practice
- Address
- 416 Main Street
La Jara, CO 81140 - Phone
- (719) 274-4500
- Fax
- (719) 274-4504
- Organisation at this address
- Healthone Heart Care Llc
Healthone Clinic Services-Surgical Specialties Llc
Healthone Clinic Services - Orthopedic Specialists LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
Family Medicine Physician - Licence states on file
- UT, NM, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-13
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