NPI | 1396447645 |
---|---|
Doing Business As | INTERNAL MEDICINE WEST JORDAN |
Entity Type | Organization |
Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2023-03-20 |
Last Update Date | 2023-03-20 |