Individual
DR. IMAD JAAFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W STE 100, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14260238-1205
UT
207RG0100X
Gastroenterology Physician
35.138552
OH
207RG0100X
Gastroenterology Physician
M-15969
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390261
—
OH
Enumeration date
04/24/2014
Last updated
03/17/2026
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