Individual provider · Type 1 NPI

Jeremy Michael Eatough, PA-C

Physician Assistant · Provo, UT

NPI number 1689245300 Active

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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X12478072-1206 (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.