Individual
DR. ANN JEFFERDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNIVERSITY OF UTAH MEDICAL CENTER 50 NORTH # 160, SALT LAKE CITY, UT 84132-2853
(801) 581-2121
Mailing address
324 TENTH AVE, SUITE #160, SALT LAKE CITY, UT 84103-2853
(801) 408-5151
(801) 408-3598
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
181614-1205
UT
207RP1001X
Pulmonary Disease Physician
Primary
181614-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010133899
TEAMSTERS #
UT
01
—
110182384
RAILROAD EMPS INS ID
UT
01
—
224997
ALTIUS PROVIDER NUMBER
UT
01
—
29652
PEHP PROVIDER #
UT
01
—
870623071
MOLINA PROVIDER #
UT
01
—
9200041
UNITED HEALTH CARE #
UT
Enumeration date
05/31/2006
Last updated
07/21/2022
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