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Individual

DANIEL WAYNE JEFFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
935 N 1000 W, TREMONTON, UT 84337-9356
(435) 207-4800
Mailing address
935 N 1000 W, TREMONTON, UT 84337-9356
(435) 207-4800

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA181080
UT

Other

Enumeration date
12/08/2016
Last updated
06/30/2023
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