| NPI | 1063114312 |
|---|---|
| Other Name | GASTROENTEROLOGY WEST JORDAN |
| Doing Business As | GTWJ GASTRO W JOR |
| Other Name | GASTROENTEROLOGY JORDAN VALLEY |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-02-17 |