Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY WILLIAM HUSSONG, DDS MD
ActiveAnatomic Pathology & Clinical Pathology · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1346201209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2006 (20.070227272859 yrs)
- Last Updated
- Oct 29, 2013
- Licenses
-
9291 (NV)G86484 (CA)3403921205 (UT)9291 (NV)G86484 (CA)
Practice Information
- Address
-
500 S CHIPETA WAYSALT LAKE CITY, UT, 841081221Browse UT providers · Browse ZIP 84108
- Phone
- 8015832787
- Fax
- 8015845141
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Hematology (Pathology)
- Additional Specialty
- Hematology (Pathology)
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MARY E BRIESKE | MD | 1649267303 |
| DR. JAMES EDWARD ALBRO | MD | 1144299645 |
| DR. CHRIS FRANK CAMPANA | MD | 1114996675 |
| DR. SARAH JANE ILSTRUP | MD | 1104895598 |
| DR. LANDON WAYNE COLEMAN | MD | 1275592479 |
| DR. JAMES MONROE AVENT | MD | 1366411597 |
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.