IndividualActive
Jeremy Chidester, M.D.
NPI 1194015693 · Plastic Surgery Physician · South Jordan, UT
Provider details
- NPI number
- 1194015693
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 10668647-1205 (UT)
Practice location
1309 W South Jordan Pkwy Ste 110
South Jordan, UT 84095-9014
Phone: (801) 839-5557
Fax: (801) 770-4455
Mailing address
1309 W South Jordan Pkwy Ste 110
South Jordan, UT 84095-9014
Registry dates
- Enumerated
- 2011-04-18
- Last updated
- 2023-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.