Individual
MR. STEVEN TAYLOR JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E 5900 S, STE 101, SALT LAKE CITY, UT 84107-5428
(801) 268-6600
(801) 268-6602
Mailing address
201 E 5900 S, STE 101, SALT LAKE CITY, UT 84107-5428
(801) 268-6600
(801) 268-6602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1553561205
UT
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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