Dr ALFRED VAUGHN D JACKSON MD is a male medical professional, specializing in Family Medicine. He graduated in 1987.
416 MAIN ST
LA JARA
CO
811400272
Tel:
| Npi | 1891746707 |
| Pac Id | 4789641168 |
| Professional Enrollment Id | I20041216001128 |
| Last Name | JACKSON |
| First Name | ALFRED VAUGHN |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
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| Line 1 Street Address | 416 MAIN ST |
| Line 2 Street Address | |
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| City | LA JARA |
| State | CO |
| Zip Code | 811400272 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 060008 |
| Hospital Affiliation Lbn 1 | SAN LUIS VALLEY HEALTH |
| Hospital Affiliation Ccn 2 | 061308 |
| Hospital Affiliation Lbn 2 | SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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