Individual
JACOB M. DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4451 S 2700 W, TAYLORSVILLE, UT 84129-8601
(801) 581-2121
Mailing address
4451 S 2700 W, TAYLORSVILLE, UT 84129-8601
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
13312635-1204
UT
Other
Enumeration date
04/23/2019
Last updated
03/21/2023
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