Individual
DR. TAMMY TING-YU SHEN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
159 N 400 W, STE B8, OREM, UT 84057-1909
(801) 226-3600
(801) 224-3811
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
9404221-1205
UT
207K00000X
Allergy & Immunology Physician
A130064
CA
208000000X
Pediatrics Physician
A130064
CA
Other
Enumeration date
06/29/2009
Last updated
11/27/2023
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