Individual
MR. BRYCE PAUL JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3570 W 9000 S, SUITE 200, WEST JORDAN, UT 84088-8869
(801) 567-9211
(801) 566-5667
Mailing address
3570 W 9000 S, SUITE 200, WEST JORDAN, UT 84088-8869
(801) 567-9211
(801) 566-5667
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8513765-1206
UT
Other
Enumeration date
01/09/2013
Last updated
05/30/2013
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