Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 102418-0501 | UT |
NPI | 1083878433 |
---|---|
Provider Name | Dr. James I Jeffery |
First Address | Washington, UT 84780-2018 |
Second Address | Washington, UT 84780-2018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 15/07/2008 |