DR. Mark R. Jackson, MD

NPI #1003877077 in Tooele, Utah

Provider Information

NPI Number: 1003877077
Entity Type: Individual
Name: DR. Mark R. Jackson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine - Emergency Medical Services
Credential: MD
Enumeration Date: Mar 30, 2006
Last Updated: Mar 21, 2016

Practice Location

Address: 1474 E ERDA WAY
City: Tooele
State: Utah
ZIP Code: 84074-9737
Phone: (435) 849-0779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X	Primary

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Organizations

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