Individual
JAREN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4700 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3300
(801) 475-3301
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3300
(801) 475-3301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9578313-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396112041
—
UT
Enumeration date
08/28/2015
Last updated
01/17/2017
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