Individual
DR. JOHN ACKERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3838 S 700 E, SALT LAKE CITY, UT 84106-1496
(801) 261-4988
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5121301-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5306
—
UT
Enumeration date
07/08/2005
Last updated
07/13/2026
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