| Good Shepherd Medical Group | |
|
3584 W 9000 S Ste 300 West Jordan UT 84088-5711 | |
| (801) 277-6474 | |
| (877) 789-0498 |
| Full Name | Good Shepherd Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3584 W 9000 S Ste 300, West Jordan, Utah |
| Authorized Official Name and Position | Nathaniel Lefevor (ADMINISTRATOR) |
| Authorized Official Contact | 8015749566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Medical Group 3584 W 9000 S Ste 300 West Jordan UT 84088-5711 Ph: (801) 277-6474 | Good Shepherd Medical Group 3584 W 9000 S Ste 300 West Jordan UT 84088-5711 Ph: (801) 277-6474 |
| NPI Number | 1710643549 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710643549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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