Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT A JELACO, PA-C
ActivePhysician Assistant · OGDEN, UT
Registration Details
- NPI Number
- 1164411914
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2005 (20.520405360495 yrs)
- Last Updated
- Feb 6, 2013
- License
-
102917-1206 (UT)
Practice Information
- Address
-
4650 HARRISON BLVDOGDEN, UT, 844034303Browse UT providers · Browse ZIP 84403
- Phone
- 8014753000
- Fax
- 8014753001
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in OGDEN, UT
| Name | Credential | NPI |
|---|---|---|
| LISA BYRD | P.A.-C. | 1962405522 |
| MS. ANGELA EPSTEIN | PA-C | 1588660864 |
| MR. RYAN R HORNING | PA-C | 1497752372 |
| NATHAN C MCBRIDE | PA C | 1114915741 |
| ELISABETH G ANDERSON | PA-C | 1518955624 |
| KIMBERLY A BOYER | PA-C | 1982692000 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.