NPI | 1982871828 |
---|---|
Doing Business As | SOUTH JORDAN FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DAVID J. KANE VP 801-568-5999 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-05-09 |
Last Update Date | 2010-05-20 |