Individual
JACKSON CHEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1201 S MAIN ST STE 110, LOGAN, UT 84321-8504
(435) 565-6043
(435) 220-2030
Mailing address
1201 S MAIN ST STE 110, LOGAN, UT 84321-8504
(435) 565-6043
(435) 220-2030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13998192-1206
UT
Other
Enumeration date
08/10/2023
Last updated
09/15/2025
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