Brian Michael Jackson
Brian Michael Jackson is an Internal Medicine Physician in Aurora, Colorado. Licensed in Colorado. Registered with an NPI since 2009.
- Licensed in
- CO
- In the registry since
- 2009
- Specialties on file
- 3
Practice location Address checks out
13123 E 16th AveAurora, CO 80045
Phone: (720) 777-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Critical Care Medicine Physician (primary) | Taxonomy 2080P0203X · Licence DR.0050426 (CO) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence DR.0050426 (CO) |
| Pediatrics Physician | Taxonomy 208000000X · Licence DR.0050426 (CO) |
Record details
| NPI number | 1013159664 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 28, 2009 |
| Last updated in NPPES | November 9, 2021 |
| Certification date | November 9, 2021 |
| Mailing address | Po Box 110429, Aurora, CO 80042-0429 |
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