Individual
DR. ERIC DANIEL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE # WA, SEATTLE, WA 98104-2420
(206) 744-3000
Mailing address
1616 N CENTRAL AVE APT 2241, PHOENIX, AZ 85004-1664
(512) 825-1162
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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