Individual
JAKE ANTHONY LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-3495
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-3495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13385221-1206
UT
363AS0400X
Surgical Physician Assistant
13385221-1206
UT
Other
Enumeration date
11/08/2021
Last updated
12/09/2025
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