Jesse Galovich
Physician Assistant in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1982243747
StatusActive
Last updated in NPPESFeb 10, 2026
Details
- NPI
- 1982243747
- Entity type
- Individual (NPI-1)
- Name
- Jesse Galovich
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2019
- Certification date
- Feb 10, 2026
- Last updated
- Feb 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11575715-1206 | UT | Yes |
Practice location
100 N Mario Capecchi DrSalt Lake City, UT 84113-1103
Phone 801-662-1000
Mailing address
100 N Mario Capecchi DrSalt Lake City, UT 84113-1103
Phone 801-662-1000 · Fax 207-973-5042
Other practice locations
417 State St Ste 121
Bangor, ME 04401-6630
Bangor, ME 04401-6630
Phone 207-973-4266
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All 471 Physician Assistant providers in Salt Lake City · All 24,510 providers in Salt Lake City
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