Individual
JENNIFER ANN DECOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNIVERSITY HOSPITAL DEPT OF ANESTHESIOLOGY, 30 N 1900 E, ROOM 3C444, SALT LAKE CITY, UT 84132-0001
(801) 205-4116
Mailing address
1217 N 2525 W, LAYTON, UT 84041-7717
(801) 593-5362
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5767787-1205
UT
Other
Enumeration date
03/26/2007
Last updated
10/19/2021
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