JORDAN D. DESAUTELS

SALT LAKE CITY, UT
NPI1114506714
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: UT  12974670-1205)
Enumeration Date2021-04-02
Last Update Date2022-08-15
Business Address
JORDAN D. DESAUTELS MD
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132-0002
Phone number: 801-585-6701
Mailing Address
JORDAN D. DESAUTELS MD
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132-0002
Phone number: 801-585-6701
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