Jeffrey D Poulsen
Medical Specialty
Professional ID
- NPI: 1083855720
- PECOS ID: 2365567799
- Enrollment ID: I20100908001130
- Credential(MD, DO, DPM):
- Medical School: Georgetown University Of Medicine
- Medical School Graduation Year: 2006
Hospital Service
- Hospital CCN1: 460001
- Business Name (LBN)1: Utah Valley Hospital
Medical Practices
- Organization Name: Mountain West Anesthesia Llc
- Group Practice ID assigned by PECOS: 9032018502
- Number of Group Practice member: 172
Location
- Address1: 1034 N 500
- Address2:
- City: Provo
- State: Utah
- Zip Code: 84604
- Phone Number: (801)357-7850
Location
- Address1: 150 W Civic Ctr Dr
- Address2: Suite 200
- City: Sandy
- State: Utah
- Zip Code: 84070
- Phone Number: (801)727-2056
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):