ROBERT W. JORDAN MD PC NPI 1356506455

NPI Information

ROBERT W. JORDAN MD PC is a specialist in Bountiful, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROBERT W. JORDAN MD PC NPI is 1356506455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1551 RENAISSANCE TOWNE DR
SUITE 400
BOUNTIFUL, UT
ZIP 84010-667
Phone: (801) 295-7200
Fax: (801) 295-4930

The provider's authorized official is Robert W Jordan .
The authorized official title is Corporate President and has the following contact phone number (801) 295-7200.

The enumeration date for this NPI number is 7/28/2008 and was last updated on 4/30/2009.

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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