NPI

Jonathan Andrew King

NPI 1033789763

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
OD
Type
Individual
Enumeration date
2021-06-25
Last updated
2025-10-09

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Specialties

Licenses

License UT
18004279A

Location

Practice location
1483 E Ridgeline Dr Ste 100
City
South Ogden UT
Postal code
84405-4977
Phone
(801) 399-1149

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in South Ogden, UT. 523 records in the public file.

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