Richard T Jackson, MD

NPI #1144323163 in Provo, Utah

Provider Information

NPI Number: 1144323163
Entity Type: Individual
Name: Richard T Jackson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Sep 6, 2006
Last Updated: Nov 27, 2023

Practice Location

Address: 1055 N 500 W
Address 2: SUITE 121
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 373-7350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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