Charles G Jackson, MD

NPI #1851305866 in Bellevue, Washington

Provider Information

NPI Number: 1851305866
Entity Type: Individual
Name: Charles G Jackson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Allergy & Immunology - Allergy
Credential: MD
Enumeration Date: Jul 27, 2006
Last Updated: Jul 7, 2009

Practice Location

Address: 1200 112TH AVE NE
Address 2: SUITE C-210
City: Bellevue
State: Washington
ZIP Code: 98004-3732
Phone: (425) 454-2191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X	Primary

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