JORDAN EATOUGH

PROVO, UT
NPI1205428232
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-02-10
Last Update Date2025-12-11
Business Address
JORDAN EATOUGH PA-C
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-3367
Mailing Address
JORDAN EATOUGH PA-C
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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