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Individual

DR. JAY B PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9600 S 1300 E STE 240, SANDY, UT 84094-3783
(801) 993-1800
Mailing address
PO BOX 70629, SALT LAKE CITY, UT 84170-0629
(801) 965-3600

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13145316-1235
UT
208800000X
Urology Physician
23571
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
515502
AZ
Enumeration date
01/10/2007
Last updated
10/24/2023
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