Individual provider · Type 1 NPI

Richard T. Jackson, D.P.M.

Podiatrist · Fort Wayne, IN

NPI number 1407859424 Active

Practice location

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Call (260) 436-8686 Map

Fax (260) 486-8585

Mailing address

PO Box 2526
Fort Wayne, IN 46801-2526

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000X07000729A (IN)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1407859424

Richard T. Jackson, D.P.M.'s National Provider Identifier is 1407859424, issued on May 23, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 7, 2016.