NPI 1043848526

Scott Eric Jackson, RTRCT

Practitioner Computed Tomography Radiologic Technologist Gaithersburg, MD

Practice location

Address: 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301
Phone: (240) 632-4418

Registered specialties (2)

Computed Tomography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3401X Licence R08214 (MD)

Other Radiologic Technologist providers in Maryland →

Radiography Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence R08214 (MD)

Registry record

NPI: 1043848526
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2020
Record last updated: 30 Mar 2020

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.