Robert W. Jordan MD PC

NPI #1356506455 in Bountiful, Utah

Provider Information

NPI Number: 1356506455
Entity Type: Organization
Organization Name: Robert W. Jordan MD PC
Primary Specialty: Specialist
Enumeration Date: Jul 28, 2008
Last Updated: Apr 30, 2009

Practice Location

Address: 1551 RENAISSANCE TOWNE DR
Address 2: SUITE 400
City: Bountiful
State: Utah
ZIP Code: 84010-7667
Phone: (801) 295-7200

Authorized Official

Name: ROBERT W JORDAN, MD
Title: CORPORATE PRESIDENT
Phone: (801) 295-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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