Mrs. DOREEN ONIPEDE JACKSON MD
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1649615287- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 101 BODIN CIRCLE, TRAVIS AIR FORCE BASE, CA, 945351800
- Phone
- (919) 753-6879
Specialties & Taxonomies
Surgery
License: CA #171636
Colon & Rectal Surgery
License: FL #ME139661
General Practice
License: NC #204413
Colon & Rectal Surgery
Primary License: CA #171636
All Addresses
MAILING
101 BODIN CIRCLE DAVID GRANT MEDICAL CENTER - TRAVIS AIR FORCE BASE
FAIRFIELD, CA, 94535