Individual
DR. JEREMY ROBERT CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1309 W SOUTH JORDAN PKWY STE 110, SOUTH JORDAN, UT 84095-9014
(801) 839-5557
(801) 770-4455
Mailing address
1309 W SOUTH JORDAN PKWY STE 110, SOUTH JORDAN, UT 84095-9014
(801) 839-5557
(801) 770-4455
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
10668647-1205
UT
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
10668647-1205
UT
Other
Enumeration date
04/18/2011
Last updated
05/12/2023
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