Jeffery H Abram, PA-C Valid NPI

Individual provider · Pediatrics Physician · Pleasant Grove, UT

NPI

1003855768

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

4945029-1206 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-06

Last updated

2007-07-08