Bryan, Bruce Jackson

Bryan, Bruce Jackson is an individual health care provider with primary practice located at 163 W White Mountain Hwy Suite D, Pinetop AZ 85935-2850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bryan, Bruce Jackson can be contacted via phone (928) 367-1200.

Contact Information

Primary practice address
163 W White Mountain Hwy Suite D Pinetop AZ 85935-2850
Phone: (928) 367-1200
Fax: (928) 367-1205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20232 Arizona

Profile Details

NPI number 1700847050
LBN Legal business name Bryan, Bruce Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Aug 24th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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