NPI 1760535926

Charles Jackson, DPM

Practitioner Podiatrist Hobbs, NM

Practice location

Address: 820 N Dalmont St, Hobbs, NM 88240-5214
Phone: (505) 393-9137
Fax: (505) 391-3977

Registered specialties (3)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 239 (NM)

Other Podiatrist providers in New Mexico →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1640 (TX)

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 80171 (MS)

Registry record

NPI: 1760535926
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2007
Record last updated: 6 Mar 2012

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.