| Dr Richard Taylor Jackson Ii, MD | |
| 1055 N 500 W, Suite 112, Provo, UT 84604-3305 | |
| (801) 812-4624 | |
| (801) 812-4699 | 
| Full Name | Dr Richard Taylor Jackson Ii | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 1055 N 500 W, Provo, Utah | 
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922248202 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 7960088-1205 (Utah) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Richard Taylor Jackson Ii, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Dr Richard Taylor Jackson Ii, MD 1055 N 500 W, Suite 112, Provo, UT 84604-3305 Ph: (801) 812-4624 | 
| Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525 | |
| Jacob Troy Gibby, MD Radiology Medicare: Medicare Enrolled Practice Location: 3152 N University Ave Ste 100, Provo, UT 84604 Phone: 801-229-2002 | |
| Samuel Lynn Southam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 801-357-7626 | |
| Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699 | |
| Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4423 Fax: 801-357-7626 | |
| Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699 | |
| Dr. Ralph Christopher Reed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 112, Provo, UT 84604 Phone: 801-812-4624 |