Individual
STEPHEN JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3471 5TH AVE, SUITE 801, PITTSBURGH, PA 15213-3215
(412) 692-4100
Mailing address
3471 FIFTH AVE., SUITE 801, PITTSBURGH, PA 15213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD423773
PA
Other
Enumeration date
02/13/2006
Last updated
03/25/2021
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