Jerry Chidester MD PLLC
Jerry Chidester MD PLLC is a Clinic/Center in Draper, Utah. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11762 S State St Ste 333Draper, UT 84020-7166
Phone: (801) 839-5557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1558983775 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeremy Chidester — Plastic Surgeon · (801) 839-5557 |
| NPI enumerated | May 11, 2020 |
| Last updated in NPPES | May 11, 2020 |
| Certification date | May 11, 2020 |
| Mailing address | 11762 S State St Ste 333, Draper, UT 84020-7166 |
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