Jason Brent Dickerson in Salt Lake City - Foot & Ankle Surgery
Jason Brent Dickerson - NPI 1528039377
Jason Brent Dickerson is a Foot & Ankle Surgery in Salt Lake City, Utah. Jason Brent Dickerson practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jason Brent Dickerson is 1528039377. The last update date is 2017-12-06.
Jason Brent Dickerson's current location address is 6360 S 3000 E, Salt Lake City, Utah. You can contact this provider via phone number 8012650600 and fax number 8012658600. The mailing address for Jason Brent Dickerson is 6360 S 3000 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Brent Dickerson |
|---|---|
| Address | 6360 S 3000 E, Salt Lake City, Utah |
| Phone Number | 8012650600 |
| Fax Number | 8012658600 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1528039377 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2017-12-06 |
Provider Mailing Address Detail
| Address | 6360 S 3000 E |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841216972 |
| Phone Number | 8012650600 |
| Fax Number | 8012658600 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 4830364-0501 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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What is the unique identifier code issued to Jason Brent Dickerson by the Centers for Medicare & Medicaid Services?
The Jason Brent Dickerson has been assigned the NPI (National Provider Identifier) 1528039377. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jason Brent Dickerson?
The Jason Brent Dickerson is situated at 6360 S 3000 E, in the city of Salt Lake City, state of UT, with the zip code 841216972.
What is Jason Brent Dickerson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Brent Dickerson's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
When was the Jason Brent Dickerson's 1528039377 issued?
The Jason Brent Dickerson's 1528039377 was issued on 2006-01-30.
When was the information regarding Jason Brent Dickerson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason Brent Dickerson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-12-06.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY