| NPI | 1194580852 |
|---|---|
| Doing Business As | JORDAN VALLEY PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | TAZEEM A AIZAD President 801-557-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |