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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD T JACKSON, MD

Active

RICHARD T JACKSON, MD is a Orthopaedic Surgery healthcare provider located in PROVO, Utah. NPI 1144323163 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · PROVO, UT

Registration Details

NPI Number
1144323163
Provider Type
Individual
Gender
Male
NPI Issued
Sep 6, 2006 (19.948632855857 yrs)
Last Updated
Nov 27, 2023
License
158498-1205 (UT)

Practice Information

Address
1055 N 500 W
SUITE 121
PROVO, UT, 846043305
Browse UT providers · Browse ZIP 84604
Phone
8013737350
Fax
8018125401
Primary Specialty
Orthopaedic Surgery
207X00000X

Other Orthopaedic Surgery Providers in PROVO, UT

Name Credential NPI
DR. DOUGLAS SCHOW JR. M.D. 1811995004
MICHAEL CALLAHAN MD 1104864651
JEFFREY R SMITH MD 1972519239
WAYNE W MORTENSEN MD 1346256690
ROBERT T JACKSON MD 1407959695
DEVON A NELSON MD 1235232307
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.