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Individual

MR. JORDAN J ASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1380 E MEDICAL CENTER DRIVE, ST GEORGE, UT 84790-2123
(435) 251-1000
(770) 701-6675
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0055014
CO
207L00000X
Anesthesiology Physician
Primary
5494232-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026022
KAISER COMMERCIAL NUMBER
CO
05
42558859
CO
Enumeration date
05/26/2010
Last updated
08/28/2019
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