Individual
JACOB E JESSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-6393
Mailing address
PO BOX 413034, SALT LAKE CITY, UT 84141-3034
(801) 581-6393
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
7454867-1204
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
7454867-1204
UT
Other
Enumeration date
05/02/2007
Last updated
10/21/2021
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