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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JALEN MON TIEV, PA

Active

Physician Assistant · PROVIDENCE, UT

Registration Details

NPI Number
1497485049
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2022 (3.8524668983897 yrs)
Last Updated
Sep 15, 2022

Practice Information

Address
412 MEADOW LN
PROVIDENCE, UT, 843329821
Browse UT providers · Browse ZIP 84332
Phone
4353636400
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PROVIDENCE, UT

Name Credential NPI
HEATHER B ALLRED PA-C 1104859149
PAUL D. MCOMBER PA-C 1245438944
MRS. CANDICE ELIZABETH MACARI PA-C 1649621228
NAOMI LANDRY PA-C 1851916464
ALEXANDER NATHAN GERBER PA-C 1366111379
MATTHEW STEPHEN MORRELL PA-C 1952015836
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.