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Organization
NOORDA COLLEGE OF OSTEOPATHIC
Active
Organization
NOORDA COLLEGE OF OSTEOPATHIC
Active
Parent organization
NOORDA COLLEGE OF OSTEOPATHIC
Other names
NOORDA-COM HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOORDA COLLEGE OF OSTEOPATHIC
Authorized official
JENNIFER SHUMWAY (DIRECTOR OF CLINICAL OPERATIONS)
(801) 380-0015
Entity
Organization
Contact information
Practice address
2162 SOUTH 180 EAST, STE 1000, PROVO, UT 84606
(385) 380-3425
Mailing address
2162 S 180 E STE 1000, PROVO, UT 84606-7370
(385) 380-3425
(855) 873-2517
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
12/05/2022
Last updated
11/26/2024
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