Individual
JASON HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
96 E KIMBALLS LN STE 207, DRAPER, UT 84020-5025
(801) 576-2300
(844) 249-1746
Mailing address
PO BOX 100253, ATLANTA, GA 30384-0253
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
8516594-1206
UT
Other
Enumeration date
12/31/2012
Last updated
03/19/2021
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