Provider Demographics
NPI:1760821326
Name:STOKER, JEFF L (DVM)
Entity Type:Individual
Prefix:
First Name:JEFF
Middle Name:L
Last Name:STOKER
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 N WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404-3210
Mailing Address - Country:US
Mailing Address - Phone:801-782-4401
Mailing Address - Fax:801-782-9864
Practice Address - Street 1:1580 N WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84404-3210
Practice Address - Country:US
Practice Address - Phone:801-782-4401
Practice Address - Fax:801-782-9864
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT273898-2801174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian