Jordan Eatough, PA-C

NPI #1205428232 in Provo, Utah

Provider Information

NPI Number: 1205428232
Entity Type: Individual
Name: Jordan Eatough, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 10, 2021
Last Updated: Dec 11, 2025

Practice Location

Address: 1034 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3380
Phone: (801) 357-3367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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