Search › Utah › 207PE0004X
Mark Jackson, MD
NPI 1003877077 · on the registry since 2006
Practice
- Address
- 1474 E Erda Way
Tooele, UT 84074 - Phone
- (435) 849-0779
Registry record
- Primary taxonomy
- 207PE0004X
207PE0004X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah