Most Relevant Information
Provider Data
| NPI Number: | 1003829086 |
| Provider Name: | SHELDON JACKSON PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 6246293-1206 |
Most Important Dates
| Enumeration Date: | 08/14/2006 |
| Last Updated: | 12/07/2007 |
Provider Practice Location
1240 E HIGHWAY 193
SUITE G-1
LAYTON
UT
840408544
Practice Location Phone/Fax
| Phone: | 8017711331 |
| Fax: |
Provider Mailing Location
1240 E HIGHWAY 193
SUITE G-1
LAYTON
UT
840408544
Provider Mailing Phone/Fax
| Phone: | 8017711331 |
| Fax: |