JASON BRENT DICKERSON

SALT LAKE CITY, UT
NPI1528039377
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: UT  4830364-0501)
Enumeration Date2006-01-30
Last Update Date2017-12-06
Business Address
JASON BRENT DICKERSON DPM
6360 S 3000 E STE 210
SALT LAKE CITY, UT 84121-6972
Phone number: 801-265-0600
Mailing Address
JASON BRENT DICKERSON DPM
6360 S 3000 E STE 210
SALT LAKE CITY, UT 84121-6972
Phone number: 435-615-8822
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