Individual
JONATHAN MAX BEDDOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1887 N AARON DR STE D, TOOELE, UT 84074-8138
(435) 244-7152
Mailing address
1887 N AARON DR STE D, TOOELE, UT 84074-8138
(435) 244-7152
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F25-117919
UT
Other
Enumeration date
02/25/2025
Last updated
03/04/2025
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