Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JARED P SPACKMAN, PA-C
ActiveMR. JARED P SPACKMAN, PA-C is a Physician Assistant healthcare provider located in WEST JORDAN, Utah. NPI 1396757241 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WEST JORDAN, UT
Registration Details
- NPI Number
- 1396757241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2006 (20.005293429179 yrs)
- Last Updated
- Nov 18, 2021
- License
-
4808078-1206 (UT)
Practice Information
- Address
-
8822 SOUTH REDWOOD ROADC-211WEST JORDAN, UT, 840888811Browse UT providers · Browse ZIP 84088
- Phone
- 8015631975
- Fax
- 8015631984
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEST JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| COREY L NEWMAN | PA-C | 1629077870 |
| DUANE A BATES | PA | 1629038716 |
| TODD R. ASHBY | PA | 1225099229 |
| CYDNEY MORTENSEN | PA | 1992766901 |
| JENNIFER AVERY | PA | 1982666475 |
| EILEEN SCANLON | PA | 1104888601 |
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.