Grant Wells Jackson, MD
NPI #1306901475 in Montesano, Washington
Provider Information
- NPI Number
- 1306901475
- Entity Type
- Individual
- Name
- Grant Wells Jackson, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medicine
- Credential
- MD
- Enumeration Date
- Dec 27, 2006
- Last Updated
- Aug 4, 2008
Practice Location
- Address
- 319 E PIONEER AVE
- Address 2
- GRANT W JACKSON MD PS
- City
- Montesano
- State
- Washington
- ZIP Code
- 98563-4601
- Phone
- (360) 249-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
| Family Medicine |
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