JERRY CHIDESTER MD PLLC is a clinic center in Draper, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JERRY CHIDESTER MD PLLC NPI is 1558983775. The provider is registered as an organization entity type.
The provider's business location address is:
11762 S STATE ST STE 333
DRAPER, UT
ZIP 84020-166
Phone: (801) 839-5557
The provider's authorized official is Jeremy Robert Chidester .
The authorized official title is Plastic Surgeon and has the following contact phone number (801) 839-5557.
The enumeration date for this NPI number is 5/11/2020 and was last updated on 5/11/2020.