Individual
JORDAN EDWARD MABEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
30 N 1900 E RM 1C026, SALT LAKE CITY, UT 84132-0002
(801) 581-2272
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11405440-1205
UT
Other
Enumeration date
04/09/2018
Last updated
09/12/2019
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