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Keith A Jackson, MD
Otolaryngology Physician in San Diego, California
NPI 1124091970

Keith A Jackson is a Otolaryngology Physician based in San Diego, CA. Keith A Jackson practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Keith A Jackson is 1124091970 and holds a License No. G58187 (California).

The current practice location address for Keith A Jackson is 5405 Oberlin Dr Fl 2, San Diego, CA and can be reached out via phone at 858-909-0770 and via fax at 858-909-0880. You can also correspond with Keith A Jackson through the mailing address at PO BOX 500877, SAN DIEGO, CA - 92150-0877 (mailing address contact number: 858-279-4221).

Location: 5405 Oberlin Dr Fl 2, San Diego, CA, 92150-0877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124091970
Provider Name
Keith A Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5405 Oberlin Dr Fl 2, San Diego, CA, 92150-0877
Phone Number
858-909-0770
Fax Number
858-909-0880
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
002018083 05 NV
institution
Provider Business Practice Location Address Details
Address
5405 Oberlin Dr Fl 2
City
San Diego
State
California
Zip
92121-1700
Phone Number
858-909-0770
Fax Number
858-909-0880
person
Provider Business Mailing Address Details
Address
Po Box 500877
City
San Diego
State
California
Zip
92150-0877
Phone Number
858-279-4221
Fax Number
858-279-4223
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
8547 (Nevada)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otology & Neurotology
Taxonomy
207YX0901X
License No.
G58187 (California)
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
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