Individual
DR. MATTHEW L. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 N MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-0001
(801) 585-5405
Mailing address
175 N MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-0001
(801) 585-5405
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12974713-1205
UT
Other
Enumeration date
04/06/2021
Last updated
12/27/2025
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