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JARED MAURICE SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1160 E 3900 S STE 2000, SALT LAKE CITY, UT 84124-1236
(801) 266-3418
(801) 266-4174
Mailing address
PO BOX 741729, ATLANTA, GA 30374-1729

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5908286-1206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932368925
UT
Enumeration date
06/04/2008
Last updated
01/21/2022
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