Jason John Poulsen M.D.

NPI 1659554301 - Anesthesiology - 207L00000X

NPI Details
NPI 1659554301
Gender Male
Enumeration Date 12/17/2007
Last Updated 10/15/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
5121 S COTTONWOOD STREET
INTERMOUNTAIN MEDICAL CENTER
MURRAY UT, 84157, US
Phone (801) 507-5248
Fax
Business Location
3340 NORTH CENTER ST
#800
LEHI UT, 84043-7406, US
Phone (801) 990-1911
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Utah
License Number 6019968-1205
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According to our database, Dr. Jason John Poulsen M.D. NPI is 1659554301, taxonomy code is 207L00000X and license number is 6019968-1205, license state is located at Utah. Jason John Poulsen M.D. physically located at 5121 S Cottonwood Street, Murray UT, 84157. NPI Number Jason John Poulsen M.D. has the Individual type.

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1659554301 NPI number is provided on an as is basis without warranty of any kind. 1659554301 is maintained by the National Plan & Provider Enumeration System. The contents of Jason John Poulsen M.D. are for informational purposes only.