Jackson Medical Clinic LLC
NPI #1144680240 in Seattle, Washington
Provider Information
- NPI Number
- 1144680240
- Entity Type
- Organization
- Organization Name
- Jackson Medical Clinic LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 2, 2016
- Last Updated
- Mar 2, 2016
Practice Location
- Address
- 1200 S JACKSON ST
- Address 2
- SUITE 27
- City
- Seattle
- State
- Washington
- ZIP Code
- 98144-2026
- Phone
- (206) 324-8469
Authorized Official
- Name
- DAVID PHAM
- Title
- MD
- Phone
- (206) 324-8469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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