Individual
MR. JAN CHRISTER JONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1125 BLACKHAWK BLVD, CENTRAL UTAH CLINIC FAMILY MEDICINE, MT PLEASANT, UT 84647
(435) 462-2044
(435) 462-2043
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 812-4673
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1017171206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529496984001
—
UT
Enumeration date
12/11/2006
Last updated
07/17/2014
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