Individual provider · Type 1 NPI
Howard Franklin Jackson, DPM
Foot Surgery Podiatrist · East St. Louis, IL
NPI number
1255453718
Active
Practice location
4601 State St, Suite 310
East St. Louis, IL 62205-1359
Fax (618) 875-7230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 016003650 (IL) |
Foot Surgery Podiatrist: Definition to come...
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About NPI 1255453718
Howard Franklin Jackson, DPM's National Provider Identifier is 1255453718, issued on Apr 4, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in East St. Louis, IL. The record was last updated on Jul 8, 2007.