Jacob White

NPI #1841983384 in Kamas, Utah

Provider Information

NPI Number: 1841983384
Entity Type: Individual
Name: Jacob White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 31, 2023
Last Updated: Mar 4, 2024

Practice Location

Address: 228 W 200 S STE B
City: Kamas
State: Utah
ZIP Code: 84036-9010
Phone: (435) 783-4385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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