Individual
JORDAN MICHAEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-3364
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9683348-1204
UT
208M00000X
Hospitalist Physician
Primary
9683348-1204
UT
Other
Enumeration date
06/19/2009
Last updated
09/30/2021
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