Organization
ADVANCED ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL JOHNSON (CLINIC MANAGER)
(801) 568-3480
Entity
Organization
Contact information
Practice address
8785 JORDAN VALLEY WAY, WEST JORDAN, UT 84088-9772
(801) 568-3480
(801) 568-3482
Mailing address
8785 JORDAN VALLEY WAY, WEST JORDAN, UT 84088-9772
(801) 568-3480
(801) 568-3482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22772
UT
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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