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WEST JORDAN FAMILY MEDICINE LLC NPI 1528203817


NPI Information

NPI: 1528203817
Provider Name: WEST JORDAN FAMILY MEDICINE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6783 S REDWOOD RD STE 103
WEST JORDAN, UT
ZIP 84084
Phone: (801) 266-1088
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WEST JORDAN FAMILY MEDICINE, LLC is a family medicine in West Jordan, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WEST JORDAN FAMILY MEDICINE, LLC NPI is 1528203817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6783 S REDWOOD RD STE 103
WEST JORDAN, UT
ZIP 84084-685
Phone: (801) 266-1088
Fax: (801) 266-1088

The provider's authorized official is Brett J. Earl .
The authorized official title is Owner and has the following contact phone number (801) 266-1088.

The enumeration date for this NPI number is 12/16/2008 and was last updated on 12/16/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine51103011205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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