NPI 1083855720

Jeffrey David Poulsen, MD

Practitioner Anesthesiology Physician Provo, UT

Practice location

Address: 1034 N 500 W, Provo, UT 84604-3380
Phone: (801) 357-7850
Mailing address: 3340 N Center St # 800, Lehi, UT 84043-7406

Registered specialties (3)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence MD222767 (OR)

Other Anesthesiology providers in Utah →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 7656910-1205 (UT)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Utah →

Registry record

NPI: 1083855720
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2009
Record last updated: 4 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.