NPI Code Details Logo

NPI 1326233669

NPI 1326233669 : JEREMY S FRANKLIN MD : SALT LAKE CITY, UT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1326233669
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JEREMY S FRANKLIN MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/10/2007
-----------------------------------------------------
    Last Update Date     |    09/04/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5121 S COTTONWOOD ST 
-----------------------------------------------------
    City                 |    SALT LAKE CITY
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84107-5701
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    801-507-7000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3567 BLUE MOUNTAIN CIR 
-----------------------------------------------------
    City                 |    MOUNTAIN GREEN
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84050-6727
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    80901
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.