Organization
CITY CREEK MEDICAL SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN JEFFERDS M.D. (PRESIDENT)
(801) 408-5151
Entity
Organization
Contact information
Practice address
UNIV OF UTAH MEDICAL HOSPITAL 50 NORTH DR, SALT LAKE CITY, UT 84132-2853
(801) 581-2121
(801) 408-3598
Mailing address
324 TENTH AVE, SUITE 160, SALT LAKE CITY, UT 84103-2853
(801) 408-5151
(801) 408-3598
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1737701205
UT
174400000X
Specialist
Primary
1816141205
UT
174400000X
Specialist
56382771205
UT
174400000X
Specialist
5740231205
UT
Other
Enumeration date
04/17/2008
Last updated
07/21/2022
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