IndividualActive
Jeremiah Maxwell, CST
NPI 1780089268 · Surgical Assistant · Heber City, UT
Provider details
- NPI number
- 1780089268
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Surgical Technologist246ZS0410X
Technologists, Technicians & Other Technical Service Providers
Practice location
2513 W 2400 S
Heber City, UT 84032-3624
Phone: (435) 671-0838
Approximate (ZIP-level) locationGet directions
Mailing address
2513 W 2400 S
Heber City, UT 84032-3624
Registry dates
- Enumerated
- 2014-10-27
- Last updated
- 2014-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.