Organization
HUNTER MEDICAL CENTER, INC
Active
Other names
JORDAN MEADOWS MEDICAL CENTER.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC M CIVISH M.D. (OWNER)
(801) 282-2677
Entity
Organization
Contact information
Practice address
3354 W 7800 S, WEST JORDAN, UT 84088-4506
(801) 282-2677
(801) 282-2050
Mailing address
3354 W 7800 S, WEST JORDAN, UT 84088-4506
(801) 282-2677
(801) 282-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
184916-1205
UT
Other
Enumeration date
04/02/2007
Last updated
12/23/2010
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