“Physician Assistant” (South Salt Lake, UT)
Location: South Salt Lake, UT
Taxonomy: Physician Assistant.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1952037939
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JACOB
STOUT
Practice Location Address:
2472 S 300 E
SOUTH SALT LAKE UT
84115-2895
Practice Phone:
801-783-5011