Stat-Md II
NPI #1881235992 in West Jordan, Utah
Provider Information
- NPI Number
- 1881235992
- Entity Type
- Organization
- Organization Name
- Stat-Md II
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 1, 2019
- Last Updated
- Oct 1, 2019
Practice Location
- Address
- 7724 S 5600 W STE 102
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84081-5415
- Phone
- (801) 432-8480
Authorized Official
- Name
- BRYAN KNEPPER
- Title
- OWNER
- Phone
- (435) 604-0160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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