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Individual
DR. J. CRAIG JACKSON
Active
Individual
DR. J. CRAIG JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD00018363
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2266
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8366502
—
WA
Enumeration date
10/13/2006
Last updated
03/28/2017
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