CHASE JACKMAN

PROVO, UT
NPI1396594339
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  14246720-1206)
Enumeration Date2024-05-13
Last Update Date2025-10-10
Business Address
CHASE JACKMAN PA
1055 N 500 W STE 121, BLDG C
PROVO, UT 84604-3305
Phone number: 801-373-7350
Mailing Address
CHASE JACKMAN PA
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-354-8225
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