Individual
JORDAN WITBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 789-6300
(435) 725-6325
Mailing address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 789-6300
(435) 725-6325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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