Organization
HUNTER MEDICAL CENTER, INC
Active
Other names
JORDAN MEADOWS MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M CIVISH III MD (PRESIDENT)
(801) 969-6264
Entity
Organization
Contact information
Practice address
3534 S 6000 W, WEST VALLEY, UT 84128-2610
(801) 969-6264
(801) 969-6333
Mailing address
3534 S 6000 W, WEST VALLEY, UT 84128-2610
(801) 969-6264
(801) 969-6333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
184916-1205
UT
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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