Bradley C Jackson Valid NPI

Individual provider · Hearing Instrument Specialist · O Fallon, MO

NPI

1285854737

Type

Individual (Type 1)

Primary specialty

Hearing Instrument Specialist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

237700000X

License number

2005036116 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2007-04-26

Last updated

2013-08-28