Individual
JERRY G HONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3451 S 5600 W, #F, SALT LAKE CITY, UT 84120-1301
(801) 957-0900
Mailing address
PO BOX 1000, DRAPER, UT 84020-1000
(801) 352-9500
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
113884-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870639098001
—
UT
Enumeration date
04/26/2006
Last updated
07/08/2007
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