MR. Jordan Tyler Foulger, PA

NPI #1417432063 in Draper, Utah

Provider Information

NPI Number: 1417432063
Entity Type: Individual
Name: MR. Jordan Tyler Foulger, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 29, 2018
Last Updated: Mar 1, 2024

Practice Location

Address: 12473 S MINUTEMAN DR
City: Draper
State: Utah
ZIP Code: 84020-7870
Phone: (801) 495-7970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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