| NPI | 1235158304 |
|---|---|
| Doing Business As | JORDAN LANDING CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRENTEN C PUGH CEO 801-280-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-06-12 |