Individual
JORDAN DRESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 N 300 W, PROVO, UT 84604-3344
(801) 357-7499
Mailing address
3811 W 1530 N UNIT 202, LEHI, UT 84043-6790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13593690-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2022
Last updated
10/31/2023
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