Search › Utah › 103TC1900X
John Jackson, PHD
NPI 1649973850 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3056 S 700 E Apt C
Salt Lake City, UT 84106 - Phone
- (706) 936-6422
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-24
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