Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT T JACKSON, MD
ActiveROBERT T JACKSON, MD is a Orthopaedic Surgery healthcare provider located in PROVO, Utah. NPI 1407959695 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · PROVO, UT
Registration Details
- NPI Number
- 1407959695
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2006 (19.948624901289 yrs)
- Last Updated
- Nov 2, 2018
- License
-
158297-1205 (UT)
Practice Information
- Address
-
1055 N 500 WSUITE 121PROVO, UT, 846043305Browse 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 |
| DEVON A NELSON | MD | 1235232307 |
| RICHARD T JACKSON | MD | 1144323163 |
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.