Individual
MR. TREVOR JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.C.
Contact information
Practice address
1825 E SOUTH CAMPUS DR, SLC, UT 84112-0900
(801) 585-3861
Mailing address
5452 HEWS PL, SALT LAKE CITY, UT 84118-1416
(801) 840-5152
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6312558-4810
UT
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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