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Individual

DR. JASON C WILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1250 E 3900 S, SUITE 360, SALT LAKE CITY, UT 84124-1348
(801) 263-3041
(801) 263-8485
Mailing address
6360 S 3000 E, #220, SALT LAKE CITY, UT 84121-6923

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4732889
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47328891205001
BLUE CROSS BLUE SHIELD
UT
01
88770
PUBLIC EMPLOYEES
UT
Enumeration date
10/04/2006
Last updated
06/09/2015
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