| Jeffery B Jackson, MD | |
|
1995 W 9000 S, West Jordan, UT 84088-9345 | |
| (801) 566-9888 | |
| (801) 566-9899 |
| Full Name | Jeffery B Jackson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Hospice And Palliative Medicine |
| Location | 1995 W 9000 S, West Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952363285 | NPI | - | NPPES |
| 107005205101 | Other | UT | SELECT MED |
| QM0000012571 | Other | UT | ALTIUS |
| 12-00098 | Other | UT | UHC |
| 87-0560776 | Other | UT | PEHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080H0002X | Pediatrics - Hospice And Palliative Medicine | 185550-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery B Jackson, MD 1995 W 9000 S, West Jordan, UT 84088-9345 Ph: (801) 566-9888 | Jeffery B Jackson, MD 1995 W 9000 S, West Jordan, UT 84088-9345 Ph: (801) 566-9888 |
Dr. Kevin B Lash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9071 S 1300 W, #301, West Jordan, UT 84088 Phone: 801-565-1162 Fax: 801-565-1168 | |
Mr. Joseph L Kingston, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 6933 S 1300 W, West Jordan, UT 84084 Phone: 801-327-8707 Fax: 801-748-0423 | |
Dr. Joshua Brent Maxwell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8822 S Redwood Rd Ste C211, West Jordan, UT 84088 Phone: 801-563-1975 | |
Dr. Leslie L Goodwin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9071 S 1300 W, #301, West Jordan, UT 84088 Phone: 801-565-1162 Fax: 801-565-1168 | |
Dr. Darin G Bosworth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9071 S 1300 W, #301, West Jordan, UT 84088 Phone: 801-565-1162 Fax: 801-565-1168 | |
Dr. Holly Molberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8822 Redwood Rd, C-211, West Jordan, UT 84088 Phone: 801-563-1975 Fax: 801-563-1984 | |
Dr. Pari Mashkuri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8822 Redwood Rd, C-211, West Jordan, UT 84088 Phone: 801-563-1975 Fax: 801-563-1984 |