Individual
JEFFREY MICHAEL COURSEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
461 S 400 E, SLC, UT 84111-3302
(801) 539-8617
(801) 537-7238
Mailing address
461 S 400 E, SLC, UT 84111-3302
(801) 539-8617
(801) 537-7238
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101498-1206
UT
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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