Organization · Type 2 NPI
Larry A. Jackson, MD PC
General Practice Physician · Springfield, OR
NPI number
1134565849
Active
Practice location
1717 Centennial Blvd, Suite 7
Springfield, OR 97477-3378
Fax (541) 726-7485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 08513 (OR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Springfield
About NPI 1134565849
Larry A. Jackson, MD PC's National Provider Identifier is 1134565849, issued on May 21, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Springfield, OR. The record was last updated on May 21, 2013.