Individual
MICHAEL JONATHAN JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2000
(385) 282-2001
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(385) 282-2000
(385) 282-2001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
344455-1205
UT
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
344455-1205
UT
Other
Enumeration date
07/04/2006
Last updated
12/04/2023
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