Individual provider · Type 1 NPI

Brock Jackson, MD

Specialist · Phoenix, AZ

NPI number 1821093667 Active

Practice location

1661 E Camelback Rd, Suite 160
Phoenix, AZ 85016-3911

Call (602) 241-1671 Map

Fax (602) 274-6181

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X32949 (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.

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About NPI 1821093667

Brock Jackson, MD's National Provider Identifier is 1821093667, issued on Jun 17, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 19, 2015.