ALLAN JEFFERY

PROVO, UT
NPI1336212414
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  5745854-1204)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
ALLAN JEFFERY DO
1055 N 500 W SUITE 212
PROVO, UT 84604-3305
Phone number: 801-374-2362
Mailing Address
ALLAN JEFFERY DO
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8215
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