Individual
JARED MICHAEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3943 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 84005-5543
(801) 789-5566
(801) 642-2941
Mailing address
275 W 200 N, LINDON, UT 84042-5009
(801) 796-1333
(801) 796-0625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13953401-1205
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
13953401-1205
UT
Other
Enumeration date
04/06/2020
Last updated
10/23/2024
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