Individual
JARLE ZENOA MESERVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 373-4760
Mailing address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13735041
UT
2084P0804X
Child & Adolescent Psychiatry Physician
MD09268
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-56484
UNITED BEHAVIORAL HEALTH
RI
01
—
22886-8
BLUE CROSS
RI
01
—
410526
BLUE CHIP
RI
05
—
7010556
—
RI
Enumeration date
05/24/2006
Last updated
04/16/2024
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