Individual
JEFFERSON M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
360 S 1300 W, PLEASANT GROVE, UT 84062-3761
(385) 440-1400
(801) 845-9965
Mailing address
360 S 1300 W, PLEASANT GROVE, UT 84062-3761
(385) 440-1400
(801) 845-9965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10174452-1206
UT
363AM0700X
Medical Physician Assistant
10174452-1206
UT
Other
Enumeration date
12/05/2016
Last updated
07/29/2026
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