| NPI | 1205957131 |
|---|---|
| Doing Business As | JORDAN MEADOWS MEDICAL CENTER. |
| Entity Type | Organization |
| Authorized Contact | FREDERIC M CIVISH Owner 801-282-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 184916-1205) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-12-23 |