# WEST JORDAN MEDICAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487683462
- **Authorized official:** MARIA A ONEIDA M.D. (OWNER)
- **Authorized official phone:** (801) 567-5990

## Contact information

- **Practice address:** 3570 W 9000 S STE 200, WEST JORDAN, UT 84088-8875
- **Practice address phone:** (801) 566-9211
- **Practice address fax:** (801) 566-5667
- **Mailing address:** 3570 W 9000 S, STE 200, WEST JORDAN, UT 84088-8869
- **Mailing address phone:** (801) 566-9211
- **Mailing address fax:** (801) 566-5667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 04/25/2013