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Individual
CRAIG R JENSEN
Active
Individual
CRAIG R JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
84-172383-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005209101
IHC
UT
01
—
11228
DESERET MUTUAL
UT
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
37794
PEHP
UT
01
—
546180
HEALTHY U
UT
05
—
820896
—
AZ
01
—
8597445
WORKERS COMP
UT
01
—
870545614JE1
EDUCATORS MUTUAL
UT
01
—
PRA02721
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
09/13/2006
Last updated
07/08/2007
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