Doctor Name: | MR. TREVOR JAMESON |
NPI Number: | 1184748691 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., A.T.C. |
License Number: | 6312558-4810 |
Business Practice Address: | 1825 E South Campus Dr Slc, UT - 841120900 |
Business Phone Number: | 8015853861 |
Business Fax Number: | |
Mailing Address: | 5452 Hews Pl, SALT LAKE CITY |
State: | UT |
Postal Code: | 841181416 |
Phone Number: | 8018405152 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 6312558-4810 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |