Tate Alan Jensen, PAC

NPI #1285652867 in Magna, Utah

Provider Information

NPI Number: 1285652867
Entity Type: Individual
Name: Tate Alan Jensen, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8211 W 3500 S
City: Magna
State: Utah
ZIP Code: 84044-1851
Phone: (801) 250-9638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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