Jordan Len Mecham, PA

NPI #1518274844 in Provo, Utah

Provider Information

NPI Number: 1518274844
Entity Type: Individual
Name: Jordan Len Mecham, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 8, 2010
Last Updated: Sep 8, 2010

Practice Location

Address: 1055 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 429-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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