NPI | 1194860569 |
---|---|
Doing Business As | JORDAN MEADOWS MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | FRED M CIVISH President 801-969-6264 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 184916-1205) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |