Organization
JASON B DICKERSON DPM LC
Active
Other names
Utah Bone and Joint Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY LOFTHOUSE (CREDENTIALING SPECIALIST)
(530) 925-6027
Entity
Organization
Contact information
Practice address
5801 S FASHION BLVD STE 120, MURRAY, UT 84107-8115
(801) 261-1391
Mailing address
5801 S FASHION BLVD STE 120, MURRAY, UT 84107-8115
(801) 261-1391
(801) 261-1394
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
4830364-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
12/18/2024
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