Good Shepherd Medical Group
NPI #1710643549 in West Jordan, Utah
Provider Information
- NPI Number
- 1710643549
- Entity Type
- Organization
- Organization Name
- Good Shepherd Medical Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 16, 2021
- Last Updated
- Nov 16, 2021
Practice Location
- Address
- 3584 W 9000 S STE 300
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-5711
- Phone
- (801) 277-6474
Authorized Official
- Name
- MR. NATHANIEL LEFEVOR, MBA
- Title
- ADMINISTRATOR
- Phone
- (801) 574-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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