NPI 1033329990

Atiba Diarra Jackson, MD

Practitioner Orthopaedic Surgery Physician Dayton, OH

Practice location

Address: 4160 Little York Rd STE 10, Dayton, OH 45414-5803
Phone: (937) 415-9100
Fax: (937) 415-9191

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 35.089443 (OH)

Other Orthopaedic Surgery providers in Ohio →

Registry record

NPI: 1033329990
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2007
Record last updated: 16 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.