Individual
JEFFERSON M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
245 S 1060 W, LINDON, UT 84042-1606
(385) 306-1222
(385) 243-3129
Mailing address
2561 S 1560 W STE B, WOODS CROSS, UT 84087-2361
(801) 505-0821
(801) 505-0803
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
09/14/2021
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