Individual
MR. HANS C JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
722 SHEPARD LN, SUITE 102, FARMINGTON, UT 84025
(385) 988-3965
(385) 988-3972
Mailing address
722 SHEPARD LN, SUITE 102, FARMINGTON, UT 84025
(385) 988-3965
(385) 988-3972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8017616-1204
UT
207Q00000X
Family Medicine Physician
R1743
AZ
207QA0401X
Addiction Medicine (Family Medicine) Physician
2014605
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394780
—
AZ
Enumeration date
09/12/2005
Last updated
10/11/2019
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