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Search › Utah › 363AS0400X

Jorgan Jacobsen, PA-C

NPI 1871074310 · on the registry since 2018

Practice

Address
50 N Medical Dr
Salt Lake City, UT 84132
Phone
(801) 587-8368
Organisation at this address
University Of Utah
University Of Utah
University Of Utah
University Of Utah
University Of Utah
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,324

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
207Y00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-21

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