Individual provider · Type 1 NPI

Richard Taylor Jackson Ii, MD

Diagnostic Radiology Physician · Provo, UT

NPI number 1922248202 Active

Practice location

1055 N 500 W, Suite 112
Provo, UT 84604-3305

Call (801) 812-4624 Map

Fax (801) 812-4699

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X7960088-1205 (UT)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1922248202

Richard Taylor Jackson Ii, MD's National Provider Identifier is 1922248202, issued on Feb 26, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Provo, UT. The record was last updated on Mar 25, 2025.