Individual
JEFF A BARKLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3702 S STATE ST STE 107, SOUTH SALT LAKE, UT 84115-5096
(801) 288-2634
(801) 288-1186
Mailing address
3702 S STATE ST STE 107, SOUTH SALT LAKE, UT 84115-5096
(801) 288-2634
(801) 288-1186
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
51085951205
UT
207RN0300X
Nephrology Physician
Primary
51085951205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586327246000
—
TX
Enumeration date
07/05/2005
Last updated
05/02/2024
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