Individual
JORDAN TAB FREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 E TRAVERSEPOINT DR, DRAPER, UT 84020-5679
(801) 553-8300
(801) 553-8301
Mailing address
267 E TRAVERSEPOINT DR, DRAPER, UT 84020-5679
(801) 553-8300
(801) 553-8301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12319995-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2018
Last updated
08/16/2021
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