Search › Utah › 207QA0505X
Edward Jackson, MD
NPI 1487367728 · on the registry since 2023 · sole proprietor
Practice
- Address
- 786 S Left Hand Fork Hobble Creek Cyn
Springville, UT 84663 - Phone
- (801) 489-9381
Registry record
- Primary taxonomy
- 207QA0505X
207QA0505X
- Also registered as
- 207Q00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-02
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