Search › Utah › 207Q00000X
Eileen Jackson, MD
NPI 1518906320 · on the registry since 2006
Practice
- Address
- 51 E Main St.
Moroni, UT 84646 - Phone
- (435) 436-5250
- Fax
- (435) 436-5262
- Organisation at this address
- Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-23
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