Individual
MR. JASON CHARL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
680 E MAIN ST, SUITE 201, LEHI, UT 84043-2241
(801) 768-8800
(801) 820-8200
Mailing address
680 E MAIN ST, SUITE 201, LEHI, UT 84043-2241
(801) 768-8800
(801) 820-8200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8834881-1206
UT
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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