DANIEL JACKSON

FORT MEADE, SD
NPI1477991164
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: DC  MD045239)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-06-05
Last Update Date2023-08-18
Business Address
DANIEL JACKSON M.D.
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-347-2511
Mailing Address
DANIEL JACKSON M.D.
2301 3RD ST NE
WASHINGTON, DC 20002-1111
Phone number: