Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON WALTER DEERE, MD
ActiveOtolaryngology · NORTH LOGAN, UT
Registration Details
- NPI Number
- 1497311369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2019 (6.938033414125 yrs)
- Last Updated
- Aug 9, 2024
- License
-
13768482-1205 (UT)
Practice Information
- Address
-
2245 N 400 E STE 301NORTH LOGAN, UT, 843411892Browse UT providers · Browse ZIP 84341
- Phone
- 4357537880
- Fax
- 4357535845
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in NORTH LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| ZACHARY ROBINETT | M.D. | 1316351380 |
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.