Individual provider · Type 1 NPI

Jacob C. Fetzer, PA-C

Physician Assistant · Salt Lake City, UT

NPI number 1235474172 Active

Practice location

30 N 1900 E Rm 4A100
Salt Lake City, UT 84132-0002

Call (801) 585-7676 Map

Mailing address

762 E 500 S
Salt Lake City, UT 84102-2906

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X8421267-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1235474172

Jacob C. Fetzer, PA-C's National Provider Identifier is 1235474172, issued on Dec 4, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 9, 2021.