Individual
JEFFERY HILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 463-7415
Mailing address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 463-7415
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12701251-1205
UT
207P00000X
Emergency Medicine Physician
HS000102L
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT219035
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/21/2019
Last updated
08/08/2025
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