DR. Blaine Kenton Jackson, M.D.
NPI #1518079565 in Solana Beach, California
Provider Information
- NPI Number
- 1518079565
- Entity Type
- Individual
- Name
- DR. Blaine Kenton Jackson, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Aug 31, 2006
- Last Updated
- May 23, 2018
Practice Location
- Address
- 773 ACADEMY DR
- City
- Solana Beach
- State
- California
- ZIP Code
- 92075
- Phone
- (858) 259-9708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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