Individual
JARON CLYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10433 S REDWOOD RD, SOUTH JORDAN, UT 84095-8502
(801) 609-9798
Mailing address
6761 W 9850 N, HIGHLAND, UT 84003-9324
(801) 855-6012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11946449-1206
UT
Other
Enumeration date
07/06/2020
Last updated
06/01/2022
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