Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JORDAN LANDING FAMILY MEDICINE LLC
Active
Organization
JORDAN LANDING FAMILY MEDICINE LLC
Active
Other names
Jordan Landing Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRENTEN CLARK PUGH (CEO)
(801) 280-7774
Entity
Organization
Contact information
Practice address
3895 W 7800 S SUITE 100, WEST JORDAN, UT 84088-1966
(801) 280-7774
Mailing address
3895 W 7800 S SUITE 100, WEST JORDAN, UT 84088-1966
(801) 280-7774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50540301205
UT
Other
Enumeration date
06/14/2007
Last updated
09/25/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers