JASON PETER KIDDE

SALT LAKE CITY, UT
NPI1750634507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  9096169-1206)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  016175)
Enumeration Date2012-10-17
Last Update Date2023-02-07
Business Address
Mr. JASON PETER KIDDE PA
389 S 900 E
SALT LAKE CITY, UT 84102-2310
Phone number: 385-282-2600
Mailing Address
Mr. JASON PETER KIDDE PA
389 S 900 E
SALT LAKE CITY, UT 84102-2310
Phone number: 385-282-2600