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Contact Information

SAM JACKSON, MD
925 E MCDOWELL RD
FLOOR 2
PHOENIX, AZ85006-2502
 Phone: 602-239-2280
 Fax: 602-239-4138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SAM JACKSON · (Male)

NPI # 1083812366
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 35554
  • AZ License # 77351
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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