Individual
DR. DUSTIN J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(412) 359-3155
(412) 359-3483
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-6581
(412) 359-3483
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD448804
PA
Other
Enumeration date
08/25/2009
Last updated
11/19/2022
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