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Camille Jackson, MD
Vascular Surgery Physician in Oakland, California
NPI 1134574528

Camille Jackson is a Vascular Surgery Physician based in San Francisco, CA and is specialized in Vascular Surgery. Camille Jackson practices in Oakland, CA and has the professional credentials of MD. The NPI Number for Camille Jackson is 1134574528 and holds a License No. (California).

The current practice location address for Camille Jackson is 1411 E 31St St, Oakland, CA and can be reached out via phone at 510-437-4965.

Location: 1411 E 31St St, Oakland, CA, 94143-2205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134574528
Provider Name
Camille Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1411 E 31St St, Oakland, CA, 94143-2205
Phone Number
510-437-4965
Fax Number
Provider Enumeration Date
05/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1411 E 31St St
City
Oakland
State
California
Zip
94602-1018
Phone Number
510-437-4965
Fax Number
person
Provider Business Mailing Address Details
Address
1411 E 31St St
City
Oakland
State
California
Zip
94602-1018
Phone Number
510-437-4965
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
A156408 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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