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Search › Utah › 207X00000X

Robert Jackson, MD

NPI 1407959695 · on the registry since 2006

Practice

Address
1055 N 500 W
Suite 121
Provo, UT 84604
Phone
(801) 373-7350
Fax
(801) 812-5401
Organisation at this address
Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
236

Registry record

Primary taxonomy
207X00000X
207X00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-11-02

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