Individual
JEREMY REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 W 400 N, OREM, UT 84057-1950
(801) 714-3450
(801) 714-3420
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13078588-1204
UT
207Q00000X
Family Medicine Physician
OT019463
PA
Other
Enumeration date
05/01/2017
Last updated
05/01/2023
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