Jeremy Michael Eatough, PA-C

NPI #1689245300 in Provo, Utah

Provider Information

NPI Number
1689245300
Entity Type
Individual
Name
Jeremy Michael Eatough, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jul 3, 2021
Last Updated
Oct 4, 2021

Practice Location

Address
395 W COUGAR BLVD STE 205
City
Provo
State
Utah
ZIP Code
84604-3328
Phone
(801) 357-1770

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant

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