Jared Glen Jackman, PA-C

NPI #1366994311 in Richfield, Utah

Provider Information

NPI Number: 1366994311
Entity Type: Individual
Name: Jared Glen Jackman, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 25, 2016
Last Updated: Feb 28, 2022

Practice Location

Address: 1000 N MAIN ST
City: Richfield
State: Utah
ZIP Code: 84701-2061
Phone: (435) 893-1850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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