Individual provider · Type 1 NPI
Paul M. Jackson, MD
Body Imaging Physician · New Orleans, LA
NPI number
1669679403
Active
Practice location
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Other practice locations
- 433 Plaza St, Bogalusa, LA 70427-3729 · (985) 730-6803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | MD.025993 (LA) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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About NPI 1669679403
Paul M. Jackson, MD's National Provider Identifier is 1669679403, issued on Jun 27, 2007. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in New Orleans, LA. The record was last updated on Apr 29, 2021.