# BRENTEN C PUGH, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jordan Landing Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235158304
- **Authorized official:** BRENTEN C PUGH MD (CEO)
- **Authorized official phone:** (801) 280-7774

## Contact information

- **Practice address:** 3895 W 7800 S STE 100, WEST JORDAN, UT 84088-5616
- **Practice address phone:** (801) 280-7774
- **Practice address fax:** (801) 280-7774
- **Mailing address:** 3895 W 7800 S STE 100, WEST JORDAN, UT 84088-5616
- **Mailing address phone:** (801) 280-7774
- **Mailing address fax:** (801) 280-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 06/12/2013