IndividualActive
J Jackson, DO
NPI 1346633161 · MOHS-Micrographic Surgery Physician · Mesa, AZ
Provider details
- NPI number
- 1346633161
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 007930 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
8405 E Baseline Rd Ste 104
Mesa, AZ 85209-4376
Phone: (480) 674-3295
Approximate (ZIP-level) locationGet directions
Mailing address
8405 E Baseline Rd Ste 104
Mesa, AZ 85209-4376
Registry dates
- Enumerated
- 2015-03-18
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.