Dr JOHN A JACKSON MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1997 from University Of Utah School Of Medicine.
INTERMOUNTAIN MEDICAL IMAGING LLC
323 E RIVERSIDE DR
SUITE 108
EAGLE
ID
836166865
Tel: 2089548123
| Npi | 1063454122 |
| Pac Id | 5193702520 |
| Professional Enrollment Id | I20040702001069 |
| Last Name | JACKSON |
| First Name | JOHN |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | INTERMOUNTAIN MEDICAL IMAGING LLC |
| Group Practice Pac Id | 7517870918 |
| Number Of Group Practice Members | 28 |
| Line 1 Street Address | 323 E RIVERSIDE DR |
| Line 2 Street Address | SUITE 108 |
| Marker Of Address Line 2 Suppression | |
| City | EAGLE |
| State | ID |
| Zip Code | 836166865 |
| Phone Number | 2089548123 |
| Hospital Affiliation Ccn 1 | 130007 |
| Hospital Affiliation Lbn 1 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130013 |
| Hospital Affiliation Lbn 2 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| Hospital Affiliation Ccn 3 | 130014 |
| Hospital Affiliation Lbn 3 | WEST VALLEY MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 380052 |
| Hospital Affiliation Lbn 4 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| Hospital Affiliation Ccn 5 | 381315 |
| Hospital Affiliation Lbn 5 | ST. ALPHONSUS MEDICAL CENTER - BAKER CITY |
| Professional Accepts Medicare Assignment | Y |
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