Individual
JACOB T DARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(013) 640-0588
Mailing address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(801) 364-0058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14224208-1204
UT
207QA0401X
Addiction Medicine (Family Medicine) Physician
14224208-1204
UT
Other
Enumeration date
04/14/2021
Last updated
08/27/2025
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