MICHAEL R. JACKSON, M.D. P.S.

UNIVERSITY PLACE, WA
NPI1366701849
Entity TypeOrganization
Authorized ContactMICHAEL R JACKSON
President
253-472-4444
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  0019523)
Enumeration Date2012-05-03
Last Update Date2012-05-03
Business Address
MICHAEL R. JACKSON, M.D. P.S.
5350 ORCHARD ST W SUITE 202
UNIVERSITY PLACE, WA 98467-4817
Phone number: 253-472-4444
Mailing Address
MICHAEL R. JACKSON, M.D. P.S.
5350 ORCHARD ST W SUITE 202
UNIVERSITY PLACE, WA 98467-4817
Phone number: 253-472-4444
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