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Organization
WEST JORDAN FAMILY MEDICINE, LLC
Active
Organization
WEST JORDAN FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT J. EARL M.D. (OWNER)
(801) 266-1088
Entity
Organization
Contact information
Practice address
6783 S REDWOOD RD STE 103, WEST JORDAN, UT 84084-5685
(801) 266-1088
(801) 266-1088
Mailing address
6783 S REDWOOD RD STE 103, WEST JORDAN, UT 84084-5685
(801) 266-1088
(801) 266-1088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51103011205
UT
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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