JASON B DICKERSON DPM LC NPI 1164925467

NPI Information

JASON B DICKERSON DPM LC is a foot and ankle surgery podiatrist in Salt Lake City, UT. JASON B DICKERSON DPM LC NPI is 1164925467. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Utah Bone And Joint Specialists.

The provider's business location address is:

6360 S 3000 E STE 210
SALT LAKE CITY, UT
ZIP 84121-972
Phone: (435) 615-8822
Fax: (435) 615-8823

The provider's authorized official is Whitney Lofthouse .
The authorized official title is Credentialing Specialist and has the following contact phone number (435) 631-9035.

The enumeration date for this NPI number is 3/13/2018 and was last updated on 3/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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