Individual
GILBERT MARC JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E # 2B-200, SALT LAKE CITY, UT 84132-0002
(801) 581-7092
Mailing address
PO BOX 5889, SALT LAKE CITY, UT 84158-0859
(801) 585-5172
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
185118-1205
UT
Other
Enumeration date
10/16/2006
Last updated
10/20/2017
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