Jeffrey W. Madsen MD LLC
Emergency Medicine in Price, UT. Organization (NPI-2).
NPI number1134592694
StatusActive
Last updated in NPPESNov 5, 2015
Details
- NPI
- 1134592694
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeffrey W. Madsen MD LLC
- Organization subpart
- No
- Enumeration date
- Nov 5, 2015
- Last updated
- Nov 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 333118-1205 | UT | Yes |
Practice location
300 N Hospital DrPrice, UT 84501-4218
Phone 435-627-4800
Mailing address
560 W 800 NOrem, UT 84057-3746
Phone 801-225-6246 · Fax 801-225-1525
Authorized official
Janell Burgon
Credentialing
8017016504
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