MR. Donald L Jackson, PA C
NPI #1073501177 in Kettle Falls, Washington
Provider Information
- NPI Number
- 1073501177
- Entity Type
- Individual
- Name
- MR. Donald L Jackson, PA C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA C
- Enumeration Date
- Oct 12, 2005
- Last Updated
- Oct 28, 2014
Practice Location
- Address
- 840 S MEYERS ST
- City
- Kettle Falls
- State
- Washington
- ZIP Code
- 99141
- Phone
- (509) 738-6607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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