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Contact Information

JON WILLARDSON
170 N 1100 E
AMERICAN FORK, UT84003-2096
 Phone: 801-855-4650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JON WILLARDSON · (Male)

NPI # 1780819771
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2009
Last updated 07/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 070013
  • PA License # OT012855
  • UT License # 9463450-1204
Hospital affiliation(s)
  • AMERICAN FORK HOSPITAL - (Acute Care)
    170 NORTH 1100 EAST
    AMERICAN FORK, UT 84003
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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