Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1273 E BRYAN AVE, SALT LAKE CITY, UT 84105-2509
(801) 366-1884
Mailing address
1273 E BRYAN AVE, SALT LAKE CITY, UT 84105-2509
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
373482-1205
UT
Other
Enumeration date
01/26/2011
Last updated
08/14/2014
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