| Jacob Church, PA | |
|
1055 N 500 W Ste 121, Provo, UT 84604-3305 | |
| (013) 737-3508 | |
| (801) 812-5401 |
| Full Name | Jacob Church |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1055 N 500 W Ste 121, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598495855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Church, PA 1055 N 500 W, Provo, UT 84604-3305 Ph: (801) 354-8225 | Jacob Church, PA 1055 N 500 W Ste 121, Provo, UT 84604-3305 Ph: (013) 737-3508 |
Kelly Marie Daly-wolfe, PA-C, RDN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W, Provo, UT 84601 Phone: 801-429-2000 | |
John Harold Ball, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546 Fax: 801-357-8840 | |
Devin W Christensen, PA-S2 Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1360 S 760 W, Provo, UT 84601 Phone: 801-471-7998 | |
Joan Margaret Butler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Robert Rowe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 S State St, Provo, UT 84606 Phone: 801-429-2000 | |
Michael Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-418-0941 | |
Stacie Glass, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604 Phone: 801-357-0570 |