Organization
CHRISTOPHER J. JOLLES MD, PC
Active
Other names
SPECIAL GYNECOLOGY AND ONCOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JESSE JOLLES MD (PRESIDENT)
(801) 302-5360
Entity
Organization
Contact information
Practice address
12391 S 4000 W, STE 208, RIVERTON, UT 84096-7015
(801) 302-5360
(801) 302-7898
Mailing address
12391 S 4000 W, STE 208, RIVERTON, UT 84096-7015
(801) 302-5360
(801) 302-7898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
167833-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6457
DMBA
UT
01
—
DG6385
RAILROAD MEDICARE
UT
Enumeration date
10/31/2007
Last updated
03/29/2012
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