Individual provider · Type 1 NPI

Jakob Crane Pendleton, DO

Student in an Organized Health Care Education/Training Program · Ogden, UT

NPI number 1023958154 Active

Practice location

3903 Medical Dr Ste 200
Ogden, UT 84403-2318

Call (801) 387-5300 Map

Fax (801) 387-5333

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023958154

Jakob Crane Pendleton, DO's National Provider Identifier is 1023958154, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ogden, UT. The record was last updated on Mar 30, 2026.