# COTTONWOOD EYE & LASER CLINIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STEVEN T JACKSON MD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972565216
- **Authorized official:** DR. STEVEN T. JACKSON M.D. (OWNER/DIRECTOR)
- **Authorized official phone:** (801) 268-6600

## Contact information

- **Practice address:** 201 E 5900 S, SUITE 101, SALT LAKE CITY, UT 84107-7379
- **Practice address phone:** (801) 268-6600
- **Practice address fax:** (801) 268-6602
- **Mailing address:** 201 E 5900 S, SUITE 101, SALT LAKE CITY, UT 84107-7379
- **Mailing address phone:** (801) 268-6600
- **Mailing address fax:** (801) 268-6602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2006
- **Last updated:** 07/23/2007