Provider Demographics
NPI:1063472280
Name:ARRINGTON, JEFFREY T (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:T
Last Name:ARRINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11762 S STATE ST STE 350
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7171
Mailing Address - Country:US
Mailing Address - Phone:801-433-2190
Mailing Address - Fax:801-433-2191
Practice Address - Street 1:11762 S STATE ST STE 350
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7171
Practice Address - Country:US
Practice Address - Phone:801-433-2190
Practice Address - Fax:801-433-2191
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5856727-1205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTI08707Medicare UPIN
UTU000077543Medicare PIN