Individual
DR. JEFFERY ALAN DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O; PHARM.D.
Contact information
Practice address
4403 HARRISON BLVD, OGDEN, UT 84403-3271
(801) 387-5300
Mailing address
4403 HARRISON BLVD STE A-700, OGDEN, UT 84403-3295
(801) 387-5300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
S019096
AZ
207Q00000X
Family Medicine Physician
Primary
4744751-1204
UT
Other
Enumeration date
12/01/2012
Last updated
11/22/2017
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