Dr. Paul Russell Jensen, M.D.
Radiology, Diagnostic Radiology in Farmington, UT. Individual provider (NPI-1).
NPI number1528049335
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1528049335
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Russell Jensen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2005
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 1816521205 | UT | Yes |
Practice location
1433 N 1075 W Ste 104Farmington, UT 84025
Phone 801-298-1300 · Fax 801-296-6199
Mailing address
Po Box 25488Salt Lake City, UT 84125-0488
Phone 800-475-3698 · Fax 801-296-6199
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