Blaine K. Jackson, M.d., INC
NPI #1578719373 in Solana Beach, California
Provider Information
- NPI Number
- 1578719373
- Entity Type
- Organization
- Organization Name
- Blaine K. Jackson, M.d., INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 12, 2008
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 530 LOMAS SANTA FE DR
- Address 2
- SUITE M
- City
- Solana Beach
- State
- California
- ZIP Code
- 92075-1349
- Phone
- (858) 259-9708
Authorized Official
- Name
- DR. BLAINE K JACKSON, M.D.
- Title
- OWNER
- Phone
- (858) 259-9708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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