Dr. Richard Leon Jackson
MD | Pediatrics | Male
Dr. Richard Leon Jackson, MD is a Salt Lake City, Utah based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Richard Leon Jackson is
50 N Medical Dr, Salt Lake City, Utah - 84132-0001. He can be contacted on phone at
801-581-3501 and fax number 801-581-3899.
Dr. Richard Leon Jackson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Richard Leon Jackson is
1295780559 which was assigned by NPPES on 24 May, 2006 and it was last updated on 11 Sep, 2012.
Dr. Richard Leon Jackson license number is
158572-1205 for Pediatrics (208000000X) in Utah.
Dr. Richard Leon Jackson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Richard Leon Jackson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Richard Leon Jackson |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Richard Leon Jackson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 50 N Medical Dr
Salt Lake City, UT, 84132-0001
United States |
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| Phone Number : | 801-581-3501 |
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| Fax Number : | 801-581-3899 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295780559 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 May, 2006 |
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| Last Updated On : | 11 Sep, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Richard Leon Jackson are as mentioned. Primary taxonomy code for Dr. Richard Leon Jackson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 158572-1205 | UT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 295 Chipeta Way, Peds Admin
Salt Lake City, UT, 84108-1220
United States |
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| Phone Number : | 801-581-2321 |
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| Fax Number : | 801-581-3899 |
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Business Location:
Patients can refer following map for directions to
Dr. Richard Leon Jackson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.