Individual
JEFFREY ALEXANDER MACIEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, DEPT OF ANESTHESIOLOGY, SALT LAKE CITY, UT 84132-0001
(801) 581-6393
Mailing address
4992 TOPCREST DR, SOUTH JORDAN, UT 84095-8793
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3087633-1205
UT
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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