Individual
DR. ALAN E. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E 5900 S, SUITE 101, SALT LAKE CITY, UT 84107-7379
(801) 268-6600
(801) 268-6602
Mailing address
201 E 5900 S, SUITE 101, SALT LAKE CITY, UT 84107-7379
(801) 268-6600
(801) 268-6602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
185984-1205
UT
Other
Enumeration date
03/21/2006
Last updated
10/05/2011
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