Individual
MR. JEFFERY LEE DEGRAUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1580 W ANTELOPE DR, SUITE 200, LAYTON, UT 84041-1160
(801) 773-4770
(801) 773-4776
Mailing address
1580 W ANTELOPE DR, SUITE 200, LAYTON, UT 84041-1160
(801) 773-4770
(801) 773-4776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2634101205
UT
Other
Enumeration date
08/31/2006
Last updated
11/29/2016
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