| West Jordan Clinic | |
|
2655 W 9000 S West Jordan UT 84088-8542 | |
| (801) 256-6343 | |
| Not Available |
| Full Name | West Jordan Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2655 W 9000 S, West Jordan, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Jordan Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 256-6343 | West Jordan Clinic 2655 W 9000 S West Jordan UT 84088-8542 Ph: (801) 256-6343 |
| NPI Number | 1164557641 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164557641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14638 (Utah) | Primary |
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