Individual
JILL BATEMAN FAATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1975 N STATE ST, OREM, UT 84057-2028
(801) 714-5000
(801) 714-5511
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 714-5000
(801) 714-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5682434-1205
UT
Other
Enumeration date
07/10/2006
Last updated
06/15/2010
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