NPI 1003877077

Mark R. Jackson, MD

Practitioner Emergency Medical Services (Emergency Medicine) Physician Tooele, UT

Practice location

Address: 1474 E Erda Way, Tooele, UT 84074-9737
Phone: (435) 849-0779

Registered specialties

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 5929640-1205 (UT)

Other Emergency Medicine providers in Utah →

Registry record

NPI: 1003877077
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2006
Record last updated: 21 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.