Individual
JESSE R WESTERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 12TH ST, OGDEN, UT 84404-6409
(801) 392-4310
Mailing address
811 12TH ST, OGDEN, UT 84404-6409
(801) 392-4310
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538304118
NPI
—
Enumeration date
01/30/2020
Last updated
01/30/2020
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