JERRY CHIDESTER MD PLLC

Clinic/Center

Active Organization
NPI: 1558983775

Practice Address

11762 S STATE ST STE 333
Draper, UT 84020

Phone: (801) 839-5557

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes -

Frequently Asked Questions

NPI 1558983775 is the National Provider Identifier for JERRY CHIDESTER MD PLLC, a Clinic/Center provider located in Draper, UT. This NPI was enumerated on May 11, 2020.

Quick Facts

NPI
1558983775
Type
Organization
Enumerated
May 11, 2020
Last Updated
May 11, 2020

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