Individual
JEDEDIAH JAMES SHUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107
(801) 809-1039
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7852008-1206
UT
Other
Enumeration date
09/05/2018
Last updated
08/05/2019
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