Jackson R Fitzgerald, MD | |
1000 E 100 N, Payson, UT 84651-1600 | |
(800) 748-4868 | |
(801) 733-5872 |
Full Name | Jackson R Fitzgerald |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1000 E 100 N, Payson, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730283268 | NPI | - | NPPES |
212704 | Other | UT | DESERET MUTUAL |
107007001102 | Other | UT | IHC |
PR00525 | Other | UT | MOLINA |
32664 | Other | UT | PEHP |
QM0000076595 | Other | UT | ALTIUS |
52944 | Other | UT | HEALTHY U |
870525882FI1 | Other | UT | EDUCATORS MUTUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 185769-1205 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jackson R Fitzgerald, MD 3 S Hillside Dr, Elk Ridge, UT 84651-8501 Ph: (801) 423-6468 | Jackson R Fitzgerald, MD 1000 E 100 N, Payson, UT 84651-1600 Ph: (800) 748-4868 |
Clisto D Beaty, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 800-748-4868 Fax: 801-733-5872 |