Jaron Clyde
Physician Assistant in South Jordan, UT. Individual provider (NPI-1).
NPI number1164049268
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1164049268
- Entity type
- Individual (NPI-1)
- Name
- Jaron Clyde
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2020
- Certification date
- Jun 1, 2022
- Last updated
- Jun 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11946449-1206 | UT | Yes |
Practice location
10433 S Redwood RdSouth Jordan, UT 84095-8502
Phone 801-609-9798
Mailing address
6761 W 9850 NHighland, UT 84003-9324
Phone 801-855-6012
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All 36 Physician Assistant providers in South Jordan · All 1,565 providers in South Jordan
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