Individual
JONATHAN CALEB PRIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
7890079-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
78900791206
UT
Other
Enumeration date
01/24/2023
Last updated
10/09/2023
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