Individual
JEROME ERWIN VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
592 WEST 1350 SOUTH, WOODS CROSS, UT 84087
(801) 299-5300
(801) 296-2163
Mailing address
592 WEST 1350 SOUTH, WOODS CROSS, UT 84087
(801) 299-5300
(801) 296-2163
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
183863-1205
UT
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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