Jacob C Juarez, PA-C, MPAS

NPI #1740756816 in Layton, Utah

Provider Information

NPI Number: 1740756816
Entity Type: Individual
Name: Jacob C Juarez, PA-C, MPAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, MPAS
Enumeration Date: Oct 16, 2018
Last Updated: Oct 16, 2018

Practice Location

Address: 2084 N. 1700 W.
Address 2: SUITE A
City: Layton
State: Utah
ZIP Code: 84041
Phone: (801) 773-8644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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