Individual
CODY WAYNE JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7871
(801) 225-1525
Mailing address
283 E 930 S, OREM, UT 84058-5001
(801) 225-6246
(801) 225-1525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6189765-1206
UT
Other
Enumeration date
04/15/2011
Last updated
05/10/2017
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