Tanya S Jackson, MD

NPI #1255445383 in Sandy, Utah

Provider Information

NPI Number: 1255445383
Entity Type: Individual
Name: Tanya S Jackson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Aug 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9500 S 1300 E
City: Sandy
State: Utah
ZIP Code: 84094-3763
Phone: (801) 501-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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