MR. Jason Lee Fogle, REGISTERED NURSE
NPI #1225390016 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1225390016
- Entity Type
- Individual
- Name
- MR. Jason Lee Fogle, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Administrator
- Credential
- REGISTERED NURSE
- Enumeration Date
- Jun 8, 2012
- Last Updated
- Jun 8, 2012
Practice Location
- Address
- 500 FOOTHILL BLVD
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84148-0001
- Phone
- (801) 582-1565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Administrator — Administrator |
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