| NPI | 1346947058 |
|---|---|
| Other Name | JORDAN RIVER FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JANICE ALLRED Manager 801-285-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |