Individual provider · Type 1 NPI
Edward William Jackson, MD
Adult Medicine Physician · Springville, UT
NPI number
1487367728
Active
Practice location
786 S Left Hand Fork Hobble Creek Cyn
Springville, UT 84663-5916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 183721-1205 (UT) |
| Family Medicine Physician | 207Q00000X | 183721-1205 (UT) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1487367728
Edward William Jackson, MD's National Provider Identifier is 1487367728, issued on Jan 2, 2023. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Springville, UT. The record was last updated on Jan 2, 2023.