Individual
JENNIFER JEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-6393
Mailing address
PO BOX 413034, SALT LAKE CITY, UT 84141-3034
(801) 581-6393
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
376411-1205
UT
Other
Enumeration date
10/25/2006
Last updated
10/19/2021
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