Individual
JEFFREY J JUCHAU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 W CENTER ST, SPANISH FORK, UT 84660-2060
(801) 798-7301
(801) 798-8513
Mailing address
811 E 1330 S, SPANISH FORK, UT 84660-2988
(801) 380-0164
(888) 313-3613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
277545-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0837
—
UT
Enumeration date
05/24/2006
Last updated
04/30/2018
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