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Dr. John W Jackson, MD
Family Medicine Physician in Provo, Utah
NPI 1548321862

John W Jackson is a Family Medicine Physician based in Provo, UT. John W Jackson practices in Provo, UT and has the professional credentials of MD. The NPI Number for John W Jackson is 1548321862 and holds a License No. 2763461205 (Utah).

The current practice location address for John W Jackson is 1300 E Center St, Provo, UT and can be reached out via phone at 801-344-4400. You can also correspond with John W Jackson through the mailing address at PO BOX 270, PROVO, UT - 84603-0270 (mailing address contact number: 801-344-4400).

Location: 1300 E Center St, Provo, UT, 84603-0270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548321862
Provider Name
John W Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1300 E Center St, Provo, UT, 84603-0270
Phone Number
801-344-4400
Fax Number
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
870212456036 05 UT
D0978 05 UT
institution
Provider Business Practice Location Address Details
Address
1300 E Center St
City
Provo
State
Utah
Zip
84606
Phone Number
801-344-4400
Fax Number
person
Provider Business Mailing Address Details
Address
1300 E Center St
City
Provo
State
Utah
Zip
84606
Phone Number
801-344-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2763461205 (Utah)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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