| 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 |