Provider Demographics
NPI:1679836951
Name:ABRAMS, JARED D (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JARED
Middle Name:D
Last Name:ABRAMS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5315 ADAMS AVE PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:WASHINGTON TERRACE
Mailing Address - State:UT
Mailing Address - Zip Code:84405-4766
Mailing Address - Country:US
Mailing Address - Phone:801-476-4448
Mailing Address - Fax:801-476-4449
Practice Address - Street 1:5315 ADAMS AVE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:WASHINGTON TERRACE
Practice Address - State:UT
Practice Address - Zip Code:84405-4766
Practice Address - Country:US
Practice Address - Phone:801-476-4448
Practice Address - Fax:801-476-4449
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2015-09-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant