| Stat-md Ii | |
|
7724 S 5600 W Ste 102 West Jordan UT 84081-5415 | |
| (801) 432-8480 | |
| (435) 604-0160 |
| Full Name | Stat-md Ii |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7724 S 5600 W Ste 102, West Jordan, Utah |
| Authorized Official Name and Position | Bryan Knepper (OWNER) |
| Authorized Official Contact | 4356040160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stat-md Ii 7724 S 5600 W Ste 102 West Jordan UT 84081-5415 Ph: (801) 432-8480 | Stat-md Ii 7724 S 5600 W Ste 102 West Jordan UT 84081-5415 Ph: (801) 432-8480 |
| NPI Number | 1881235992 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881235992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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