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

JERRY CHIDESTER MD PLLC

Active Organization

Clinic/Center · DRAPER, UT

Registration Details

NPI Number
1558983775
Provider Type
Organization
NPI Issued
May 11, 2020 (5.9752902460144 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.