Individual
JEFFREY KIMBALL BIGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST STE 810, SALT LAKE CITY, UT 84107-5701
(801) 507-6470
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-6470
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
8276300-1205
UT
2084N0400X
Neurology Physician
8276300-1205
UT
Other
Enumeration date
01/24/2008
Last updated
11/07/2024
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