person
Jason Brent Dickerson, DPM
Foot & Ankle Surgery Podiatrist in Salt Lake City, Utah
NPI 1528039377

Jason Brent Dickerson is a Foot & Ankle Surgery Podiatrist based in Salt Lake City, UT and is specialized in Foot & Ankle Surgery. Jason Brent Dickerson practices in Salt Lake City, UT and has the professional credentials of DPM. The NPI Number for Jason Brent Dickerson is 1528039377 and holds a License No. 4830364-0501 (Utah).

The current practice location address for Jason Brent Dickerson is 6360 S 3000 E, Salt Lake City, UT and can be reached out via phone at 801-265-0600 and via fax at 801-265-8600. You can also correspond with Jason Brent Dickerson through the mailing address at 6360 S 3000 E, SALT LAKE CITY, UT - 84121-6972 (mailing address contact number: 435-615-8822).

Location: 6360 S 3000 E, Salt Lake City, UT, 84121-6972
person
Provider Profile Details
NPI Number
1528039377
Provider Name
Jason Brent Dickerson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6360 S 3000 E, Salt Lake City, UT, 84121-6972
Phone Number
801-265-0600
Fax Number
801-265-8600
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6360 S 3000 E
City
State
Zip
84121-6972
Phone Number
801-265-0600
Fax Number
801-265-8600
person
Provider Business Mailing Address Details
Address
6360 S 3000 E
City
State
Zip
84121-6972
Phone Number
801-265-0600
Fax Number
801-265-8600
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
4830364-0501 (Utah)
Definition
Definition to come...
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