Individual
JONATHAN P HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
DIVISION OF GIM 30 N 1900 E, SALT LAKE CITY, UT 84132-0001
(801) 581-7822
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-7822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
UT
Other
Enumeration date
01/06/2026
Last updated
02/09/2026
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