Fredric N. Jackson MD INC Ps

NPI #1144248014 in Burien, Washington

Provider Information

NPI Number: 1144248014
Entity Type: Organization
Organization Name: Fredric N. Jackson MD INC Ps
Primary Specialty: Specialist
Enumeration Date: Jul 18, 2006
Last Updated: May 12, 2014

Practice Location

Address: 16259 SYLVESTER RD SW
Address 2: SUITE 404
City: Burien
State: Washington
ZIP Code: 98166-3049
Phone: (206) 241-1818

Authorized Official

Name: DR. FREDRIC N JACKSON, MD
Title: OWNER
Phone: (206) 241-1818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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