| NPI | 1972565216 |
|---|---|
| Former Legal Business Name | STEVEN T JACKSON MD PC |
| Entity Type | Organization |
| Authorized Contact | STEVEN T. JACKSON Owner/Director 801-268-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-07-23 |