Individual
JESSE HAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
454 E MEDICAL WAY, HEBER CITY, UT 84032-1391
(435) 658-6738
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9748938-1205
UT
Other
Enumeration date
04/08/2013
Last updated
08/10/2022
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