Fredric N. Jackson Md Inc Ps

NPI 1144248014 - Specialist - 174400000X

NPI Details
NPI 1144248014
Enumeration Date 07/18/2006
Last Updated 05/12/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FREDRIC N FREDRIC
Position OWNER
Phone (206) 241-1818
Fax
Practice Location
16259 SYLVESTER RD SW
SUITE 404
BURIEN WA, 98166-3049, US
Phone (206) 241-1818
Fax
Business Location
16259 SYLVESTER RD SW STE 404
BURIEN WA, 98166-3059, US
Phone (206) 241-1818
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Fredric N. Jackson Md Inc Ps NPI is 1144248014, taxonomy code is 174400000X Fredric N. Jackson Md Inc Ps physically located at 16259 Sylvester Rd Sw, Burien WA, 98166-3049. NPI Number 1033115704 has the healthcare provider type.

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1144248014 NPI number is provided on an as is basis without warranty of any kind. 1144248014 is maintained by the National Plan & Provider Enumeration System. The contents of Fredric N. Jackson Md Inc Ps are for informational purposes only.