NPI | 1962606657 |
---|---|
Doing Business As | JORDAN LANDING CLINIC LLC |
Entity Type | Organization |
Authorized Contact | BRENTEN CLARK PUGH CEO 801-280-7774 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 50540301205) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2019-09-25 |