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Jonathan Andrew Hartshorn, MD
Student in an Organized Health Care Education/Training Program in Provo, Utah
NPI 1932553773

Jonathan Andrew Hartshorn is a Student in an Organized Health Care Education/Training Program based in Cincinnati, UT. Jonathan Andrew Hartshorn practices in Provo, UT and has the professional credentials of MD. The NPI Number for Jonathan Andrew Hartshorn is 1932553773 and holds a License No. 12127629-1205 (Utah).

The current practice location address for Jonathan Andrew Hartshorn is 395 W Cougar Blvd, Provo, UT and can be reached out via phone at 801-357-7420. You can also correspond with Jonathan Andrew Hartshorn through the mailing address at 6361 BEECHMONT AVE APT 1, CINCINNATI, OH - 45230-1900 (mailing address contact number: 801-472-0459).

Location: 395 W Cougar Blvd, Provo, UT, 45230-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932553773
Provider Name
Jonathan Andrew Hartshorn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
395 W Cougar Blvd, Provo, UT, 45230-1900
Phone Number
801-357-7420
Fax Number
Provider Enumeration Date
04/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
395 W Cougar Blvd
City
Provo
State
Utah
Zip
84604-3311
Phone Number
801-357-7420
Fax Number
person
Provider Business Mailing Address Details
Address
395 W Cougar Blvd
City
Provo
State
Utah
Zip
84604-3311
Phone Number
801-357-7420
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
12127629-1205 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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