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RUSSELL JACKSON
Medical Physician Assistant
NPI: 1699322578IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Medical Physician AssistantPrimary
Physician Assistant — Medical
Code: 363AM0700X
8654(AZ)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 301 E COTTONWOOD LN STE 1&2
CASA GRANDE, AZ 85122 - Phone
- (602) 569-3999
Quick Facts
- NPI
- 1699322578
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 5
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