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Individual

JACKSON LEVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1483 E RIDGELINE DR STE 100, SOUTH OGDEN, UT 84405-4977
(801) 399-1149
(801) 399-0248
Mailing address
1493 E RIDGELINE DR STE 100, SOUTH OGDEN, UT 84405-4947
(801) 399-1149
(801) 399-0271

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301094618
UT

Other

Enumeration date
07/20/2009
Last updated
10/09/2025
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