Individual
JACOB C WORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
560 W 465 N STE 604, PROVIDENCE, UT 84332-8006
(435) 994-2535
Mailing address
2825 NE KENDALLWOOD PKWY APT 4, GLADSTONE, MO 64119-2035
(435) 994-2535
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14209819-1204
UT
Other
Enumeration date
03/30/2021
Last updated
06/23/2025
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