Individual
JACOB MERRILL HUNSAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
750 W 800 N, OREM, UT 84057-3660
(801) 714-6000
(801) 733-5618
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 432-2648
(801) 838-7105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6483143-4406
UT
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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