Organization
W REED JAUSSI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W REED JAUSSI MD (PRESIDENT)
(435) 752-2020
Entity
Organization
Contact information
Practice address
550 E 1400 N, STE T, LOGAN, UT 84341-2406
(435) 752-0202
(435) 752-5475
Mailing address
550 E 1400 N, STE T, LOGAN, UT 84341-2406
(435) 752-0202
(435) 752-5475
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
49198431205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03201958
OWNERSDOB
—
Enumeration date
02/14/2008
Last updated
02/14/2008
Update your record
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