NPI 1194015693

Jeremy Robert Chidester, MD

Practitioner Plastic Surgery Physician South Jordan, UT

Practice location

Address: 1309 W South Jordan Pkwy STE 110, South Jordan, UT 84095-9014
Phone: (801) 839-5557
Fax: (801) 770-4455

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 10668647-1205 (UT)

Other Plastic Surgery providers in Utah →

Surgery of the Hand (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence 10668647-1205 (UT)

Registry record

NPI: 1194015693
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2011
Record last updated: 12 May 2023

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.