Whalio Doctors

NPI 1033123179

Jeffrey D Jackson, MD

Practitioner Orthopaedic Surgery Physician Salt Lake City, UT

Practice location

Address
1160 E 3900 S STE 5000, Salt Lake City, UT 84124-1275
Phone
(801) 261-7479
Fax
(801) 261-7429
Mailing address
PO Box 100253, Atlanta, GA 30384-0253

Registered specialties

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 48648 (MN)

Registry record

NPI
1033123179
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jul 2006
Record last updated
27 Jan 2022

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.