Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON BRENT DICKERSON, DPM
Active Sole ProprietorJASON BRENT DICKERSON, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in SALT LAKE CITY, Utah. NPI 1528039377 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1528039377
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.495858087336 yrs)
- Last Updated
- Dec 6, 2017
- License
-
4830364-0501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6360 S 3000 ESTE 210SALT LAKE CITY, UT, 841216972Browse UT providers · Browse ZIP 84121
- Phone
- 8012650600
- Fax
- 8012658600
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| SCOTT MARTIN SOULIER | DPM, MSPH | 1043213168 |
| DR. MICHAEL KARL LOWE | D.P.M. | 1063417335 |
| DR. GREGORY S ANDERSON | DPM | 1992797492 |
| DR. CRAIG JAMES CAMPBELL | D.P.M. | 1841288651 |
| DR. CHRISTOPHER FUNK | DPM | 1720079528 |
| SCOTT A CLARK | DPM | 1700865748 |
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.