Individual
JASON V CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 W 2700 N, PLEASANT VIEW, UT 84404-4791
(801) 475-3600
(801) 475-3601
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3600
(801) 475-3601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5868694-1205
UT
Other
Enumeration date
01/22/2007
Last updated
01/18/2017
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