Individual
DR. JACOB JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5801 S FASHION BLVD, SUITE 210, MURRAY, UT 84107-6159
(801) 923-2882
(801) 506-0134
Mailing address
5801 S FASHION BLVD, SUITE 210, MURRAY, UT 84107-6159
(801) 923-2882
(801) 506-0134
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
9690256-1202
UT
Other
Enumeration date
02/12/2016
Last updated
10/28/2016
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