DR. Heath Owen Jackson, DPM is a student in an organized health care education training program in Rochester, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Heath Owen Jackson, DPM NPI is 1528629177. The provider is registered as an individual entity type and is a multiple single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY
ZIP 14621-095
Phone: (585) 922-4000
The enumeration date for this NPI number is 6/25/2019 and was last updated on 6/25/2019.