ROBERT JELACO, PA-C
Physician Assistant
Active
Individual
NPI: 1164411914
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 102917-1206 (UT) |
Frequently Asked Questions
NPI 1164411914 is the National Provider Identifier for ROBERT JELACO, PA-C, a Physician Assistant provider located in Ogden, UT. This NPI was enumerated on October 14, 2005.
ROBERT JELACO, PA-C practices at 4650 HARRISON BLVD, Ogden, UT 84403.
Quick Facts
- NPI
- 1164411914
- Type
- Individual
- Enumerated
- Oct 14, 2005
- Last Updated
- Feb 6, 2013
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