Mark K. Jackson, M.D.
Diagnostic Radiology · Oswego, NY
UnclaimedM.D.NPI 1063405538
- Primary taxonomy
- 2085R0202X
- Enumerated
- 2005-08-30
- Practice location
- Oswego, NY
- Last NPPES update
- 2007-09-13
State licenses
- NY · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.