Individual
JON MEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2400
Mailing address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12926956-1206
UT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/02/2018
Last updated
05/02/2023
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