Individual
DAVID JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3355 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6620
(801) 377-5649
Mailing address
3355 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6620
(801) 377-5649
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
105077-0501
UT
213EP1101X
Primary Podiatric Medicine Podiatrist
105077-0501
UT
213ES0000X
Sports Medicine Podiatrist
105077--0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
105077-0501
UT
Other
Enumeration date
08/21/2006
Last updated
04/18/2008
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