# WEST JORDAN FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1528203817
- **Authorized official:** DR. BRETT J. EARL M.D. (OWNER)
- **Authorized official phone:** (801) 266-1088

## Contact information

- **Practice address:** 6783 S REDWOOD RD STE 103, WEST JORDAN, UT 84084-5685
- **Practice address phone:** (801) 266-1088
- **Practice address fax:** (801) 266-1088
- **Mailing address:** 6783 S REDWOOD RD STE 103, WEST JORDAN, UT 84084-5685
- **Mailing address phone:** (801) 266-1088
- **Mailing address fax:** (801) 266-1088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 51103011205 | UT | Yes |

## Other

- **Enumeration date:** 12/16/2008
- **Last updated:** 12/16/2008