Dr. LENLEY BRADFORD JACKSON M.D.
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1568555845- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 2505 W HAMMER LN, STOCKTON, CA, 952092839
- Phone
- (209) 954-4040
- Fax
- (209) 951-2239
Specialties & Taxonomies
Emergency Medicine
License: HI #15431
Emergency Medicine
Primary License: CA #A87877