JACOB MARK JAMES

PROVO, UT
NPI1669177143
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: UT  14288908-1204)
Enumeration Date2023-04-03
Last Update Date2026-07-23
Business Address
JACOB MARK JAMES DO
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7291
Mailing Address
JACOB MARK JAMES DO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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