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Contact Information

JEREMY R CHIDESTER, MD
1309 W SOUTH JORDAN PKWY STE 110
SOUTH JORDAN, UT84095-9014
 Phone: 801-839-5557
 Fax: 801-770-4455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEREMY R CHIDESTER · (Male)

NPI # 1194015693
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2011
Last updated 05/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 10668647-1205
Hospital affiliation(s) Not Available
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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