Individual
JONATHAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5169 S COTTONWOOD ST STE 520, MURRAY, UT 84107-6756
(801) 507-3500
(801) 507-3505
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10705078-1205
UT
207RI0011X
Interventional Cardiology Physician
14140972-4201
UT
Other
Enumeration date
03/31/2014
Last updated
11/12/2024
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