person
Charles G Jackson, MD
Allergy Physician in Bellevue, Washington
NPI 1851305866

Charles G Jackson is an Allergy Physician based in Auburn, WA and is specialized in Allergy. Charles G Jackson practices in Bellevue, WA and has the professional credentials of MD. The NPI Number for Charles G Jackson is 1851305866 and holds a License No. MD00014267 (Washington).

The current practice location address for Charles G Jackson is 1200 112Th Ave Ne, Bellevue, WA and can be reached out via phone at 425-454-2191 and via fax at 425-453-1270.

Location: 1200 112Th Ave Ne, Bellevue, WA, 98071-0632
person
Provider Profile Details
NPI Number
1851305866
Provider Name
Charles G Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 112Th Ave Ne, Bellevue, WA, 98071-0632
Phone Number
425-454-2191
Fax Number
425-453-1270
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1039247 05 WA
institution
Provider Business Practice Location Address Details
Address
1200 112Th Ave Ne
City
State
Zip
98004-3732
Phone Number
425-454-2191
Fax Number
425-453-1270
person
Provider Business Mailing Address Details
Address
1200 112Th Ave Ne
City
State
Zip
98004-3732
Phone Number
425-454-2191
Fax Number
425-453-1270
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
MD00014267 (Washington)
Definition
Definition to come...
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