RICHARD LEON JACKSON

SALT LAKE CITY, UT
NPI1295780559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: UT  158572-1205)
Enumeration Date2006-05-24
Last Update Date2012-09-11
Business Address
Dr. RICHARD LEON JACKSON MD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-3501
Mailing Address
Dr. RICHARD LEON JACKSON MD
295 CHIPETA WAY PEDS ADMIN
SALT LAKE CITY, UT 84108-1220
Phone number: 801-581-2321
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