Individual
DR. ROBERT KIRK JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
82 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 698-2440
(301) 846-0892
Mailing address
82 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 698-2440
(301) 846-0892
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0039847
MD
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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