Individual provider · NPI-1
Dr. Jennifer W Allen, M.D.
Family Medicine · Salt Lake City, UT
NPI number1124001789
StatusActive
Last updated in NPPESMar 30, 2012
Details
- NPI
- 1124001789
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer W Allen
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2005
- Last updated
- Mar 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 6738811-1205 | UT | Yes |
| 207Q00000X | Family Medicine | M-11240 | ID |
Other names
- Jennifer W Boyden (Former Name)
Practice location
1400 Foothill DrSuite 100
Salt Lake City, UT 84108-2327
Phone 801-664-2722
Mailing address
1083 Donner WaySalt Lake City, UT 84108-2506
Phone 801-664-2722
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