Individual provider · Type 1 NPI

Jim Ladle, PA-C

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

NPI number 1134701253 Active

Practice location

3022 W Current Creek Dr Ste A
South Jordan, UT 84095-7965

Call (801) 842-4097 Map

Mailing address

3022 W Current Creek Dr
South Jordan, UT 84095-7965

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 1134701253

Jim Ladle, PA-C's National Provider Identifier is 1134701253, issued on Apr 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Jordan, UT. The record was last updated on Apr 27, 2021.