Search › Utah › 207R00000X

Jesse Wackerbarth, MD

NPI 1902303613 · on the registry since 2018

Practice

Address
5121 S Cottonwood St
Murray, UT 84107
Phone
(801) 507-7000
Organisation at this address
Ihc Health Services
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Wasatch Brain And Spine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
572

Additional practice sites

  • 1959 Ne Pacific St, Seattle, WA
  • 26 N 1900 E Rm 701, Salt Lake City, UT

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
207RC0200X
Licence states on file
WA, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-29

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