DR. Robert Kirk Jackson, M.D.

NPI #1164442406 in Frederick, Maryland

Provider Information

NPI Number: 1164442406
Entity Type: Individual
Name: DR. Robert Kirk Jackson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jul 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 82 THOMAS JOHNSON CT
City: Frederick
State: Maryland
ZIP Code: 21702-4348
Phone: (301) 698-2440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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