Individual
JAKE ANTHONY LINDBERG MARANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 W COUGAR BLVD STE 801, PROVO, UT 84604-3311
(801) 229-1054
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14226711-1206
UT
Other
Enumeration date
05/10/2025
Last updated
12/01/2025
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