Michael R. Jackson, M.d. P.s.
NPI #1366701849 in University Place, Washington
Provider Information
- NPI Number
- 1366701849
- Entity Type
- Organization
- Organization Name
- Michael R. Jackson, M.d. P.s.
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 3, 2012
- Last Updated
- May 3, 2012
Practice Location
- Address
- 5350 ORCHARD ST W
- Address 2
- SUITE 202
- City
- University Place
- State
- Washington
- ZIP Code
- 98467-4817
- Phone
- (253) 472-4444
Authorized Official
- Name
- MICHAEL R JACKSON, M.D.
- Title
- PRESIDENT
- Phone
- (253) 472-4444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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