Individual
DR. JARED JON PIKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO,
Contact information
Practice address
210 E MAIN ST, SANTAQUIN, UT 84655-7076
(801) 754-3600
(801) 754-3322
Mailing address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3200
(801) 623-3265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7747244-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164650289
—
ID
Enumeration date
06/26/2009
Last updated
05/13/2020
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