Individual provider · Type 1 NPI

Thomas Miles Jackson, MD

Surgery Physician · La Junta, CO

NPI number 1598765083 Active

Practice location

2201 San Juan Ave
La Junta, CO 81050-3323

Fax (719) 384-4872

Mailing address

1100 Carson Ave
La Junta, CO 81050-2751

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X04-21320 (KS)
Surgery Physician 208600000X5568 (AK)
Surgery Physician Primary 208600000XDR48817 (CO)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1598765083

Thomas Miles Jackson, MD's National Provider Identifier is 1598765083, issued on Jul 26, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in La Junta, CO. The record was last updated on May 12, 2010.