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Contact Information

EDWARD C JACKMAN, MD
269 S CANDY LN
COTTONWOOD, AZ86326-4158
 Phone: 928-639-6172
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for EDWARD C JACKMAN · (Male)

NPI # 1669733580
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2012
Last updated 03/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 58317
Hospital affiliation(s)
  • PAGE HOSPITAL - (Critical Access)
    501 NORTH NAVAJO DRIVE
    PAGE, AZ 86040
  • VERDE VALLEY MEDICAL CENTER - (Acute Care)
    269 SOUTH CANDY LANE
    COTTONWOOD, AZ 86326
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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