Individual provider · Type 1 NPI
Rodney Mark Jackson, MD, FAAP
Specialist · Anthem, AZ
NPI number
1619975398
Active
Practice location
3654 W Anthem Way, Suite B-114
Anthem, AZ 85086-0455
Fax (623) 551-7389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 28940 (AZ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
About NPI 1619975398
Rodney Mark Jackson, MD, FAAP's National Provider Identifier is 1619975398, issued on Jul 7, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Anthem, AZ. The record was last updated on Jul 9, 2007.