Individual
DR. JASON ROBERT VANSHAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1831 E 6550 S, UINTAH, UT 84405-9729
(385) 240-1963
(888) 747-8076
Mailing address
1831 E 6550 S, UINTAH, UT 84405-9729
(385) 240-1963
(888) 747-8076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9730453-1205
UT
207Q00000X
Family Medicine Physician
MD443492
PA
207Q00000X
Family Medicine Physician
P3475
TX
Other
Enumeration date
06/23/2009
Last updated
01/08/2024
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