Individual
JEFFRY WILLIAM SPECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
4403 HARRISON BLVD, SUITE 2440, OGDEN, UT 84403-3271
(801) 387-2775
(801) 387-2780
Mailing address
4403 HARRISON BLVD, SUITE 2440, OGDEN, UT 84403-3271
(801) 387-2775
(801) 387-2780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
284667-4810
UT
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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