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

NICHOLAS DEAN JENDERKO, PA

Active

NICHOLAS DEAN JENDERKO, PA is a Physician Assistant healthcare provider located in SALT LAKE CITY, Utah. NPI 1942951660 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SALT LAKE CITY, UT

Registration Details

NPI Number
1942951660
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2022 (4.5755622532602 yrs)
Last Updated
Dec 11, 2022
License
12622303-1206 (UT)

Practice Information

Address
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT, 841125550
Browse UT providers · Browse ZIP 84112
Phone
8015877000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SALT LAKE CITY, UT

Name Credential NPI
MR. CHRIS LINDSEY PA-C 1689671737
DAVID S ANDERSON PAC 1356342539
NAOMI RUTH LAIRD PA-C 1053303420
MR. ROBERT TOTH PA-C, ATC 1386637940
MR. SEAN PATRICK STROPE PA-C 1922092147
TANYA CHESLEY PA-C 1477541506
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.