Basic Information
| Provider Information | |||||||||
| NPI: | 1801119086 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JOST | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | FABRICE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | UNIVERSITY HOSPITAL NEUROSURGERY | ||||||||
| Address2: | SPITALSTRASSE 21 | ||||||||
| City: | BASEL | ||||||||
| State: | BS | ||||||||
| PostalCode: | 4031 | ||||||||
| CountryCode: | CH | ||||||||
| TelephoneNumber: | 0786987732 | ||||||||
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| Practice Location | |||||||||
| Address1: | UNIVERSITY HOSPITAL | ||||||||
| Address2: | 175 NORTH MEDICAL DRIVE EAST | ||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841320001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8015816908 | ||||||||
| FaxNumber: | 8015814385 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2010 | ||||||||
| LastUpdateDate: | 03/02/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.