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

JERRY CHIDESTER MD PLLC

Active Organization

JERRY CHIDESTER MD PLLC is a Clinic/Center organization located in DRAPER, Utah. NPI 1558983775 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · DRAPER, UT

Registration Details

NPI Number
1558983775
Provider Type
Organization
NPI Issued
May 11, 2020 (6.2656980678452 yrs)
Last Updated
May 11, 2020

Practice Information

Address
11762 S STATE ST STE 333
DRAPER, UT, 840207166
Browse UT providers · Browse ZIP 84020
Phone
8018395557
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in DRAPER, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.