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Individual

JENNIFER PAUL LEISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1138 WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
(801) 581-2000
Mailing address
PO BOX 510004, SALT LAKE CITY, UT 84151-0004
(801) 213-3900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
364970-1205
UT

Other

Enumeration date
10/13/2006
Last updated
11/18/2021
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