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Dr. Richard Taylor Jackson II, MD
Diagnostic Radiology Physician in Provo, Utah
NPI 1922248202

Richard Taylor Jackson II is a Diagnostic Radiology Physician based in Provo, UT and is specialized in Diagnostic Radiology. Richard Taylor Jackson II practices in Provo, UT and has the professional credentials of MD. The NPI Number for Richard Taylor Jackson II is 1922248202 and holds a License No. R1094 (Utah).

The current practice location address for Richard Taylor Jackson II is 1055 N 500 W, Provo, UT and can be reached out via phone at 801-812-4624 and via fax at 801-812-4699.

Location: 1055 N 500 W, Provo, UT, 84604-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922248202
Provider Name
Richard Taylor Jackson II
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W, Provo, UT, 84604-3305
Phone Number
801-812-4624
Fax Number
801-812-4699
Provider Enumeration Date
02/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-812-4624
Fax Number
801-812-4699
person
Provider Business Mailing Address Details
Address
1055 N 500 W
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-812-4624
Fax Number
801-812-4699
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
R1094 (Kentucky)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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