Individual provider · Type 1 NPI

Mark K. Jackson, MD

Diagnostic Radiology Physician · Oswego, NY

NPI number 1063405538 Active

Practice location

110 W 6th St
Oswego, NY 13126-2507

Call (315) 349-5000 Map

Mailing address

104 W Utica St
Oswego, NY 13126-3031

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X196101 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1063405538

Mark K. Jackson, MD's National Provider Identifier is 1063405538, issued on Aug 30, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Oswego, NY. The record was last updated on Sep 13, 2007.