NPI 1699561209
Derek Jackson
Practice location
- Address
- 3601 S 6th Ave, Tucson, AZ 85723-0001
- Phone
- (520) 792-1450
- Mailing address
- 7966 W Foothill Dr, Peoria, AZ 85383-2158
Registered specialties
Podiatric Assistant
Primary
Registry record
- NPI
- 1699561209
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Apr 2025
- Record last updated
- 22 Apr 2025
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.