Organization · Type 2 NPI
Keith A Jackson MD Limited
Specialist · San Diego, CA
NPI number
1487823324
Active
Practice location
8010 Frost St, 503
San Diego, CA 92123-2778
Fax (858) 279-4223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G58187 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1487823324
Keith A Jackson MD Limited's National Provider Identifier is 1487823324, issued on Feb 25, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Feb 25, 2008.