NPI 1073296570
Jackson Cheal, PAS
Practice location
- Address
- 1201 S Main St STE 110, Logan, UT 84321-8504
- Phone
- (435) 565-6043
- Fax
- (435) 220-2030
Registered specialties
Physician Assistant
Primary
Registry record
- NPI
- 1073296570
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Aug 2023
- Record last updated
- 15 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.