Individual
MR. JAMISON LANE CREEKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2376 N 400 E STE 102, TOOELE, UT 84074-3413
(435) 843-1225
Mailing address
36 W PLUM ST, GRANTSVILLE, UT 84029-9652
(435) 494-8680
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14236708-1206
UT
Other
Enumeration date
03/13/2023
Last updated
09/17/2025
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