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Jerry Chidester Md Pllc
Clinic/Center in Draper, Utah
NPI 1558983775

Jerry Chidester Md Pllc is a Clinic/Center based in Draper, UT. Jerry Chidester Md Pllc practices in Draper, UT. The NPI Number for Jerry Chidester Md Pllc is 1558983775 and holds a License No. (Utah).

The current practice location address for Jerry Chidester Md Pllc is 11762 S State St Ste 333, Draper, UT and can be reached out via phone at 801-839-5557.

Location: 11762 S State St Ste 333, Draper, UT, 84020-7166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558983775
Provider Name
Jerry Chidester Md Pllc
Credential
Provider Entity Type
Organization
Address
11762 S State St Ste 333, Draper, UT, 84020-7166
Phone Number
801-839-5557
Fax Number
Provider Enumeration Date
05/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11762 S State St Ste 333
City
Draper
State
Utah
Zip
84020-7166
Phone Number
801-839-5557
Fax Number
person
Provider Business Mailing Address Details
Address
11762 S State St Ste 333
City
Draper
State
Utah
Zip
84020-7166
Phone Number
801-839-5557
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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