Individual
JAIRON FESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4403 HARRISON BLVD STE 2400, OGDEN, UT 84403-3297
(801) 387-2750
(801) 387-2755
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13362830-1206
UT
363AS0400X
Surgical Physician Assistant
PT972
WY
Other
Enumeration date
08/31/2020
Last updated
07/21/2023
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