JACKSON WALTER DEERE MD
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1497311369- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2245 N 400 E STE 301, NORTH LOGAN, UT, 843411892
- Phone
- (435) 753-7880
- Fax
- (435) 753-5845
Specialties & Taxonomies
Otolaryngology
Primary License: UT #13768482-1205