Individual provider · Type 1 NPI

Jason Brent Dickerson, DPM

Foot & Ankle Surgery Podiatrist · Salt Lake City, UT

NPI number 1528039377 Active

Practice location

6360 S 3000 E, Ste 210
Salt Lake City, UT 84121-6972

Fax (801) 265-8600

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X4830364-0501 (UT)

Foot & Ankle Surgery Podiatrist: Definition to come...

39 other providers at this address

Other foot & ankle surgery podiatrist providers in Salt Lake City

See all in Salt Lake City →

About NPI 1528039377

Jason Brent Dickerson, DPM's National Provider Identifier is 1528039377, issued on Jan 30, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 6, 2017.