Individual
JONATHAN HUGH BENNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10433 S REDWOOD RD STE 2, SOUTH JORDAN, UT 84095-8502
(801) 260-1441
Mailing address
4871 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84009-5940
(801) 910-6846
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10774602-1206
UT
Other
Enumeration date
04/03/2018
Last updated
10/21/2021
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