Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY DAVID POULSEN, MD
Active Sole ProprietorJEFFREY DAVID POULSEN, MD is a Anesthesiology healthcare provider located in PROVO, Utah. NPI 1083855720 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · PROVO, UT
Registration Details
- NPI Number
- 1083855720
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2009 (17.414427981607 yrs)
- Last Updated
- Jun 4, 2025
- Licenses
-
7656910-1205 (UT)MD222767 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1034 N 500 WPROVO, UT, 846043380Browse UT providers · Browse ZIP 84604
- Phone
- 8013577850
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Anesthesiology
Other Anesthesiology Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| TODD GLENDON CALL | M.D. | 1679559173 |
| BRANDON C DIAL | MD | 1275567802 |
| MORGAN K GRANT | MD | 1700983038 |
| MARK STEFFENSEN | MD | 1912006016 |
| THOMAS L GARDNER | MD | 1396836375 |
| BRENT JOHN MURDOCK | DO | 1790878460 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.