Shadow Mountain Family Medicine LLC
NPI #1225294697 in West Jordan, Utah
Provider Information
- NPI Number
- 1225294697
- Entity Type
- Organization
- Organization Name
- Shadow Mountain Family Medicine LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 5, 2008
- Last Updated
- Jun 4, 2009
Practice Location
- Address
- 3855 W 7800 S
- Address 2
- SUITE 100
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-5560
- Phone
- (801) 282-5952
Authorized Official
- Name
- DAVID J. KANE
- Title
- VP
- Phone
- (801) 568-5999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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