Individual
DR. JONATHAN PEARSON DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
82 S 1100 E STE 305, SALT LAKE CITY, UT 84102-4703
(801) 214-7650
(801) 214-7650
Mailing address
1422 S ROXBURY RD, SALT LAKE CITY, UT 84108-2843
(801) 505-3182
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0429296
KS
207V00000X
Obstetrics & Gynecology Physician
17073
NV
207V00000X
Obstetrics & Gynecology Physician
Primary
7399412-1205
UT
207V00000X
Obstetrics & Gynecology Physician
73994128017
UT
207V00000X
Obstetrics & Gynecology Physician
C50108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100398640B
—
KS
Enumeration date
06/08/2005
Last updated
06/02/2022
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