NICHOLAS DEAN JENDERKO

SALT LAKE CITY, UT
NPI1942951660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  12622303-1206)
Enumeration Date2022-01-13
Last Update Date2022-12-11
Business Address
NICHOLAS DEAN JENDERKO PA
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112-5550
Phone number: 801-587-7000
Mailing Address
NICHOLAS DEAN JENDERKO PA
8843 DANTON WAY
EDEN PRAIRIE, MN 55347-5351
Phone number: 612-839-2666
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