Search › Utah › 207ND0101X
Jared Heaton, D.O
NPI 1457666562 · on the registry since 2010 · sole proprietor
Practice
- Address
- 320 W 500 S Ste 210
Bountiful, UT 84010 - Phone
- (801) 797-9121
- Fax
- (801) 797-9182
- Organisation at this address
- Legacy Dermatology
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 307 N 300 W Ste 6, Kaysville, UT
- 157 N Commercial St, Morgan, UT
- 2909 Washington Blvd Ste 250, Ogden, UT
Registry record
- Primary taxonomy
- 207ND0101X
207ND0101X
- Also registered as
- 207N00000X
207NS0135X
207NI0002X - Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-14
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