Individual
JONATHAN R FAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W, SUITE 121, PROVO, UT 84604-3305
(801) 373-7350
(801) 812-5401
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5269192-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-00489
UTAH HEALTCARE
UT
01
—
107018895101
IHC
UT
01
—
72720
PEHP
UT
01
—
794776
DMBA
UT
01
—
870287028FA2
EMIA
UT
01
—
P000048647
PALMETTO
UT
01
—
QM0000067760
ALTIUS
UT
Enumeration date
09/27/2006
Last updated
11/27/2023
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