SearchUtah1041C0700X

Jace Fowles

NPI 1114434222 · on the registry since 2018 · sole proprietor

Practice

Address
237 26th St
Ogden, UT 84401
Phone
(801) 625-3700
Organisation at this address
Weber Human Services
Weber Human Services
Weber Human Services
Weber Human Services
Weber Human Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
649

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
171M00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah