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Organization
JORDAN RIDGE FAMILY MEDICINE LLC
Active
Organization
JORDAN RIDGE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RHODES (MD)
(702) 480-2550
Entity
Organization
Contact information
Practice address
4071 S 4000 W, WEST VALLEY CITY, UT 84120-4143
(801) 515-7196
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 560-2916
(702) 560-2928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
11/02/2013
Last updated
08/09/2023
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