Search › Utah › 363A00000X
Jacob Church, PA
NPI 1598495855 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1055 N 500 W Ste 121
Provo, UT 84604 - Phone
- (013) 737-3508
- Fax
- (801) 812-5401
- Organisation at this address
- Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 236
Additional practice sites
- 3000 N Triumph Blvd Ste 100, Lehi, UT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Sex
- Male
- Record last updated
- 2022-06-10
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