Jeffrey David Poulsen, MD

NPI #1083855720 in Provo, Utah

Provider Information

NPI Number: 1083855720
Entity Type: Individual
Name: Jeffrey David Poulsen, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Mar 10, 2009
Last Updated: Jun 4, 2025

Practice Location

Address: 1034 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3380
Phone: (801) 357-7850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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