ROBERT A JELACO

OGDEN, UT
NPI1164411914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  102917-1206)
Enumeration Date2005-10-14
Last Update Date2013-02-06
Business Address
-- ROBERT A JELACO PA-C
4650 HARRISON BLVD
OGDEN, UT 84403-4303
Phone number: 801-475-3000
Mailing Address
-- ROBERT A JELACO PA-C
4650 HARRISON BLVD
OGDEN, UT 84403-4303
Phone number: 801-475-3000
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