Organization
JORDAN FAMILY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J. KANE (VP)
(801) 568-5999
Entity
Organization
Contact information
Practice address
8846 S REDWOOD RD, SUITE E-121, WEST JORDAN, UT 84088-9334
(801) 569-1999
(801) 569-2001
Mailing address
8846 S REDWOOD RD, SUITE E-121, WEST JORDAN, UT 84088-9334
(801) 569-1999
(801) 569-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164672770
—
UT
Enumeration date
09/19/2008
Last updated
08/13/2009
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