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NPI 1154437655

IndividualActive

David Jaramillo

NPI 1154437655 · Podiatrist · Provo, UT

Provider details

NPI number: 1154437655
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Sex: Male
Sole proprietor: Yes
License: 105077-0501 (UT)

Practice location

3355 N University Ave Ste 175

Provo, UT 84604-6620

Phone: (801) 377-5649

More UT providers

Mailing address

3355 N University Ave Ste 175

Provo, UT 84604-6620

Registry dates

Enumerated: 2006-08-21
Last updated: 2008-04-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

David Jaramillo — NPI 1154437655, Provo, UT | NPI Central