Individual
JASON BRENT DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6360 S 3000 E, STE 210, SALT LAKE CITY, UT 84121-6972
(801) 265-0600
(801) 265-8600
Mailing address
6360 S 3000 E, STE 210, SALT LAKE CITY, UT 84121-6972
(435) 615-8822
(435) 615-8823
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
4830364-0501
UT
Other
Enumeration date
01/30/2006
Last updated
12/06/2017
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