| NPI | 1922700095 |
|---|---|
| Doing Business As | FAMILY MEDICINE WEST JORDAN |
| Entity Type | Organization |
| Authorized Contact | ANGEL J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-05-13 |