Individual
JAYMES BLAKE MONSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
165 N UNIVERSITY AVE, FARMINGTON, UT 84025-2990
(801) 213-3200
(801) 213-6883
Mailing address
165 N UNIVERSITY AVE, PRIMARY CARE DEPARTMENT, FARMINGTON, UT 84025-2990
(801) 213-3200
(801) 213-6883
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
10438198-1717
UT
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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