Individual
DR. JEFFREY D HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4403 HARRISON BLVD STE 2400, OGDEN, UT 84403-3297
(801) 387-2750
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-2750
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2663361205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057032
—
UT
Enumeration date
10/06/2006
Last updated
07/03/2008
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