Individual
JEFFREY J PULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2310 N 400 E, SUITE A, NORTH LOGAN, UT 84341-1788
(435) 787-2000
(435) 787-1913
Mailing address
PO BOX 27128, SUITE A, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7492129-1206
UT
363A00000X
Physician Assistant
Primary
74921291206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461820
—
UT
Enumeration date
10/20/2009
Last updated
04/20/2026
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