Individual provider · Type 1 NPI

Robert Elvon Jackson, MD

Urology Physician · Meridian, ID

NPI number 1184740045 Active

Practice location

875 S Vanguard Way, Suite 200 D
Meridian, ID 83642

Call (208) 782-6730 Map

Fax (208) 759-7822

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X4301087650 (MI)
Urology Physician 208800000X4301087650 (MI)
Urology Physician Primary 208800000XM-11868 (ID)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

7 other providers at this address

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About NPI 1184740045

Robert Elvon Jackson, MD's National Provider Identifier is 1184740045, issued on Mar 22, 2007. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Meridian, ID. The record was last updated on Jun 2, 2026.