COTTONWOOD MEDICAL CLINICPLLC NPI 1972992477

NPI Information

COTTONWOOD MEDICAL CLINIC,PLLC is an acute care clinical nurse specialist in West Jordan, UT. COTTONWOOD MEDICAL CLINIC,PLLC NPI is 1972992477. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6671 S REDWOOD RD
STE 110
WEST JORDAN, UT
ZIP 84084-488
Phone: (801) 571-2452
Fax: (866) 936-0188

The provider's authorized official is Ann Lapolla .
The authorized official title is Owner and has the following contact phone number (801) 231-4932.

The enumeration date for this NPI number is 1/21/2015 and was last updated on 1/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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