Healthcare Provider Details

I. General information

NPI: 1255636981
Provider Name (Legal Business Name): FRANK JAY KEEFER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2011
Last Update Date: 01/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3324 SEVEN SPRINGS DR
SANDY UT
84092-4560
US

IV. Provider business mailing address

3324 SEVEN SPRINGS DR
SANDY UT
84092-4560
US

V. Phone/Fax

Practice location:
  • Phone: 801-942-3510
  • Fax:
Mailing address:
  • Phone: 801-942-3510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number183733-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35.027196
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: