| NPI | 1528237831 |
|---|---|
| Doing Business As | JACKSON FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRANDON JONES Clinic Manager 801-951-2333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-03-13 |