KEITH A JACKSON MD LIMITED
Medical Practice at Frost St, San Diego, CA

License number
California G58187
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. LISA MARIE BAKER
Title: OFFICE MANAGER
Phone: (858) 279-4221
Address
Address
8010 Frost St, San Diego, CA 92123
National Provider ID: 1487823324
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEITH A. JACKSON, MD, LIMITED

8010 Frost St SUITE 503, San Diego, CA 92123

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Keith A Jackson MD
Registration:
Jan 8, 2008
Phone:
(858) 279-4221 (Phone)
State ID:
C2993570
Business type:
Domestic Professional Corporation
President:
Keith Allister Jackson (President)
Categories:
Cosmetic & Reconstructive Surgeons, Family & General Practice Physicians & Surgeons, Otolaryngology Physicians & Surgeons, ...
Additional:
CERTIFIED AMERICAN BOARD OF OTOLARYNGOLOGY, HEAD & NECK SURGERY, Diseases & Surgery Of The Ear Nose & Throat Related Allergies, LASER & SINUS SURGERY

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