DOUGLAS JACKSON

JOHNSTOWN, PA
NPI1083479612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: PA  MD034616E)
Enumeration Date2024-02-13
Last Update Date2025-06-16
Business Address
DOUGLAS JACKSON MD
337 SOMERSET ST
JOHNSTOWN, PA 15901-2541
Phone number: 814-533-0106
Mailing Address
DOUGLAS JACKSON MD
3983 LONG LEAF CT
CONCORD, NC 28025-9033
Phone number: 321-615-4850
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