NPI 1164049268

Jaron Clyde

Practitioner Physician Assistant South Jordan, UT

Practice location

Address: 10433 S Redwood Rd, South Jordan, UT 84095-8502
Phone: (801) 609-9798
Mailing address: 6761 W 9850 N, Highland, UT 84003-9324

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11946449-1206 (UT)

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Registry record

NPI: 1164049268
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2020
Record last updated: 1 Jun 2022

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.