MR. Jared P Spackman, PA-C

NPI #1396757241 in West Jordan, Utah

Provider Information

NPI Number: 1396757241
Entity Type: Individual
Name: MR. Jared P Spackman, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 12, 2006
Last Updated: Nov 18, 2021

Practice Location

Address: 8822 SOUTH REDWOOD ROAD
Address 2: C-211
City: West Jordan
State: Utah
ZIP Code: 84088-8811
Phone: (801) 563-1975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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