JORDAN ANTHONY LYTHGOE

PROVO, UT
NPI1245762806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  10520107-1206)
Enumeration Date2017-03-31
Last Update Date2017-10-03
Business Address
JORDAN ANTHONY LYTHGOE P.A.
1055 N 300 W STE 205
PROVO, UT 84604-5044
Phone number: 801-374-9100
Mailing Address
JORDAN ANTHONY LYTHGOE P.A.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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