Individual
ERIC JACOB JEMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5541 W 13400 S, RIVERTON, UT 84096-5640
(801) 871-4700
(801) 871-4799
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(866) 415-6556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10939795-1204
UT
207Q00000X
Family Medicine Physician
OP61065129
WA
Other
Enumeration date
04/11/2017
Last updated
11/24/2025
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