Individual provider · Type 1 NPI
Mark R. Jackson, MD
Emergency Medical Services (Emergency Medicine) Physician · Tooele, UT
NPI number
1003877077
Active
Practice location
1474 E Erda Way
Tooele, UT 84074-9737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | 5929640-1205 (UT) |
Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Other emergency medical services (emergency medicine) physician providers in Tooele
About NPI 1003877077
Mark R. Jackson, MD's National Provider Identifier is 1003877077, issued on Mar 30, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Tooele, UT. The record was last updated on Mar 21, 2016.