Individual
JASON MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
709 S 900 E, SALT LAKE CITY, UT 84102-3605
(801) 949-9313
Mailing address
709 S 900 E, SALT LAKE CITY, UT 84102-3605
(801) 949-9313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5293685
UT
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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