Physician Assistant
JEREMY EATOUGH PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1689245300 · enumerated 2021-07-03 · record updated 2021-10-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 395 W COUGAR BLVD STE 205, PROVO, UT, 84604-3328 (801) 357-1770 Fax (801) 357-1779 Google Maps Apple Maps OpenStreetMap
- Mailing address 1215 W 1870 N, PROVO, UT, 84604-5017 (801) 717-5958 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X
- Physician Assistant 363A00000X · Primary · License 12478072-1206 UT
In this directory
Locations and evidence
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Practice location
PROVO, UT, 846043328
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.