JORDAN LEN MECHAM

PROVO, UT
NPI1518274844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  7764074-1206)
Enumeration Date2010-09-08
Last Update Date2010-09-08
Business Address
-- JORDAN LEN MECHAM PA
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-429-8000
Mailing Address
-- JORDAN LEN MECHAM PA
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-354-8225
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