Individual
JACOB M WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 581-2121
Mailing address
750 S DOUGLAS ST, SLC, UT 84102-3718
(801) 419-8575
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2022
Last updated
06/05/2022
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