# DR. JENNIFER JANE FONTIUS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881662351
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35692 | AZ | Yes |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 03/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 107013333102 | IHC-INTERMOUNTAIN HEALTHC | UT |
| 01 | — | 201232475JJM | EDUCATORS MUTUAL | UT |
| 01 | — | 219182 | ALTIUS | UT |
| 01 | — | 51981141202001 | BLUE CROSS BLUE SHIELD | UT |
| 01 | — | 75493 | DESERET MUTUAL BENEFIT | UT |
| 01 | — | 79219 | PEHP | UT |
| 01 | — | P00167591 | MEDICARE RAILROAD | UT |
| 01 | — | P3436838 | OXFORD HEALTH PLANS | UT |
| 01 | — | PRA07429 | MOLINA | UT |