Grant W Jackson MD Ps
NPI #1023274370 in Montesano, Washington
Provider Information
- NPI Number
- 1023274370
- Entity Type
- Organization
- Organization Name
- Grant W Jackson MD Ps
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 5, 2008
- Last Updated
- Aug 5, 2008
Practice Location
- Address
- 319 E PIONEER AVE
- City
- Montesano
- State
- Washington
- ZIP Code
- 98563-4601
- Phone
- (360) 249-1980
Authorized Official
- Name
- GRANT JACKSON, MD
- Title
- DIRECTOR
- Phone
- (360) 249-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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