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

TaxonomyCodeLicense
Specialist Primary 174400000XG58187 (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.