Individual provider · Type 1 NPI
Jeremy Michael Eatough, PA-C
Physician Assistant · Provo, UT
Practice location
395 W Cougar Blvd Ste 205
Provo, UT 84604-3328
Fax (801) 357-1779
Mailing address
1215 W 1870 N
Provo, UT 84604-5017
Other practice locations
- 1215 W 1870 N, Provo, UT 84604-5017 · (801) 717-5958
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Physician Assistant Primary | 363A00000X | 12478072-1206 (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 1689245300
Jeremy Michael Eatough, PA-C's National Provider Identifier is 1689245300, issued on Jul 3, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Oct 4, 2021.