Jason B Dickerson Dpm Lc

NPI #1164925467 in Murray, Utah

Provider Information

NPI Number: 1164925467
Entity Type: Organization
Organization Name: Jason B Dickerson Dpm Lc
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 13, 2018
Last Updated: Dec 18, 2024

Practice Location

Address: 5801 S FASHION BLVD STE 120
City: Murray
State: Utah
ZIP Code: 84107-8115
Phone: (801) 261-1391

Authorized Official

Name: WHITNEY LOFTHOUSE
Title: CREDENTIALING SPECIALIST
Phone: (530) 925-6027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X

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