Individual
JEFFREY BRENT MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1407
(801) 213-9900
Mailing address
3777 S 8035 W, MAGNA, UT 84044-2204
(801) 633-2633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12607250-1206
UT
Other
Enumeration date
03/02/2022
Last updated
03/18/2025
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