Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 39476 | TN |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 39476 | TN |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 6230098-1205 | UT |
NPI | 1053334805 |
---|---|
Provider Name | Dr. Jason P Hunt |
First Address | Salt Lake City, UT 84158-1094 |
Second Address | Salt Lake City, UT 84132-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 20/10/2021 |