Individual
SAMUEL JONES LLAVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12222 S 1000 E STE 3, DRAPER, UT 84020-3203
(801) 987-3592
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 585-0895
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2084P0800X
Psychiatry Physician
Primary
14245432-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2024
Last updated
09/29/2025
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