Robert A Jelaco, PA-C

NPI #1164411914 in Ogden, Utah

Provider Information

NPI Number: 1164411914
Entity Type: Individual
Name: Robert A Jelaco, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 14, 2005
Last Updated: Feb 6, 2013

Practice Location

Address: 4650 HARRISON BLVD
City: Ogden
State: Utah
ZIP Code: 84403-4303
Phone: (801) 475-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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