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Individual

JEFFREY R. SAFFLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-1618
Mailing address
PO BOX 413035, SALT LAKE CITY, UT 84141-3035
(801) 213-3900

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
161530-1205
UT
2086S0127X
Trauma Surgery Physician
161530-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020003096
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
09/27/2012
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