Individual
DR. JAMAR ROMANCELES GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1485 US-40 STE G, HEBER CITY, UT 84032, HEBER CITY, UT 84032
(304) 539-6484
Mailing address
1485 US-40 STE G, HEBER CITY, UT 84032
(304) 539-6484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11341859-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
11/01/2019
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