Individual
DR. WILLIAM B. JACKSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8315
Mailing address
5334 WOODLOT RD, COLUMBIA, MD 21044-5720
(301) 596-3650
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
D0045039
MD
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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