Individual
JEFRI A WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
180400-1204
UT
207L00000X
Anesthesiology Physician
DO2949
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870550181001
—
UT
Enumeration date
05/11/2006
Last updated
01/28/2020
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