Brent D Jackson, MD

NPI #1962418210 in Fillmore, Utah

Provider Information

NPI Number: 1962418210
Entity Type: Individual
Name: Brent D Jackson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 31, 2006
Last Updated: Jun 15, 2010

Practice Location

Address: 700 S HIGHWAY 99
Address 2: #3
City: Fillmore
State: Utah
ZIP Code: 84631-5134
Phone: (435) 743-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Ihc Health Services INC	Family Medicine	Fillmore	AI Deep Dive

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