Individual
MR. JARED P SPACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8822 SOUTH REDWOOD ROAD, C-211, WEST JORDAN, UT 84088-8811
(801) 563-1975
(801) 563-1984
Mailing address
8822 SOUTH REDWOOD ROAD, C-211, WEST JORDAN, UT 84088-8811
(801) 563-1975
(801) 563-1984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4808078-1206
UT
Other
Enumeration date
08/12/2006
Last updated
11/18/2021
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