DOUGLAS JACKSON

JOHNSTOWN, PA
NPI1083479612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: PA  MD034616E)
Enumeration Date2024-02-13
Last Update Date2025-10-28
Business Address
DOUGLAS JACKSON MD
337 SOMERSET ST
JOHNSTOWN, PA 15901-2541
Phone number: 814-533-0106
Mailing Address
DOUGLAS JACKSON MD
5150 CENTRE AVE
PITTSBURGH, PA 15232-1309
Phone number: 814-533-0106