Heather A Jackson M.D.

NPI 1023237088 - Family Medicine - 207Q00000X

NPI Details
NPI 1023237088
Gender Female
Enumeration Date 04/25/2007
Last Updated 04/25/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
2295 FOOTHILL DR
SALT LAKE CITY UT, 84109-4000, US
Phone (801) 486-3021
Fax (801) 485-6339
Business Location
2295 FOOTHILL DR
SALT LAKE CITY UT, 84109-4000, US
Phone (801) 486-3021
Fax (801) 485-6339
Toxanomy
Taxonomy Code 207Q00000X
License State Utah
License Number 7127197-1205
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According to our database, Heather A Jackson M.D. NPI is 1023237088, taxonomy code is 207Q00000X and license number is 7127197-1205, license state is located at Utah. Heather A Jackson M.D. physically located at 2295 Foothill Dr, Salt Lake City UT, 84109-4000. NPI Number Heather A Jackson M.D. has the Individual type.

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1023237088 NPI number is provided on an as is basis without warranty of any kind. 1023237088 is maintained by the National Plan & Provider Enumeration System. The contents of Heather A Jackson M.D. are for informational purposes only.