IndividualActive
Edward Jackson, MD
NPI 1487367728 · Adult Medicine Physician · Springville, UT
Provider details
- NPI number
- 1487367728
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 183721-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
786 S Left Hand Fork Hobble Creek Cyn
Springville, UT 84663-5916
Phone: (801) 489-9381
Approximate (ZIP-level) locationGet directions
Mailing address
786 S Left Hand Fork Hobble Creek Cyn
Springville, UT 84663-5916
Registry dates
- Enumerated
- 2023-01-02
- Last updated
- 2023-01-02
- Certified
- 2023-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.