SearchUtah3747A0650X

Patrick Jackman

NPI 1437668365 · on the registry since 2017

Practice

Address
548 N 1100 E
Washington, UT 84780
Phone
(435) 275-4458
Fax
(435) 275-4407
Organisation at this address
Autumn Park Inc
Autumn Park Assisted Living Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Sex
Male
Record last updated
2017-09-22

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