Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 11713894-1205 | UT |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 11713894-1205 | UT |
NPI | 1013150374 |
---|---|
Provider Name | Zachary Scott Jager |
First Address | Slc, UT 84127-0128 |
Second Address | St George, UT 84790-7077 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2009 |
Last Update Date | 07/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S109453 | MEDICARE HAND SPECIALTY (01) | SD |