Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK R. JACKSON, MD
ActiveDR. MARK R. JACKSON, MD is a Emergency Medical Services healthcare provider located in TOOELE, Utah. NPI 1003877077 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · TOOELE, UT
Registration Details
- NPI Number
- 1003877077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2006 (20.399105483136 yrs)
- Last Updated
- Mar 21, 2016
- License
-
5929640-1205 (UT)
Practice Information
- Address
-
1474 E ERDA WAYTOOELE, UT, 840749737Browse UT providers · Browse ZIP 84074
- Phone
- 4358490779
- Primary Specialty
-
Emergency Medical Services
207PE0004X
Other Emergency Medical Services Providers in TOOELE, UT
| Name | Credential | NPI |
|---|---|---|
| ADAM SAPERSTON | MD | 1134181233 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.