Individual provider · Type 1 NPI

Jacob Jackson, DO

Surgery Physician · Bridgeton, MO

NPI number 1861832644 Active

Practice location

12266 De Paul Dr Ste 305
Bridgeton, MO 63044-2514

Call (314) 770-0991 Map

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 2345 Dougherty Ferry Rd, St. Louis, MO 63122-3313 · (314) 966-9100

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X2015012493 (MO)

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 1861832644

Jacob Jackson, DO's National Provider Identifier is 1861832644, issued on Jun 26, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Bridgeton, MO. The record was last updated on Nov 10, 2020.