Individual
JASON OWEN SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11333 S 1000 E STE 102, SANDY, UT 84094-5421
(801) 462-2205
(801) 748-1030
Mailing address
11333 S 1000 E STE 102, SANDY, UT 84094-5421
(801) 462-2205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12234294-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/05/2021
Last updated
05/11/2022
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