Individual
JACE MELESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(702) 562-5519
Mailing address
3100 N. TENAYA WAY GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128-0431
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14199918-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
05/07/2025
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