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Individual

CHAD JARVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DA-C

Contact information

Practice address
2356 N 400 E, STE 201, TOOELE, UT 84074
(435) 882-2350
(435) 882-2039
Mailing address
2356 N 400 E, STE 201, TOOELE, UT 84074
(435) 882-2350
(435) 882-2039

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57467031206
UT

Other

Enumeration date
07/06/2005
Last updated
07/14/2009
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