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Individual

JORDAN LEE GARRITSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5169 S COTTONWOOD ST STE 420, MURRAY, UT 84107-6769
(801) 507-1650
(801) 507-1699
Mailing address
5169 S COTTONWOOD ST STE 420, MURRAY, UT 84107-6769
(801) 507-1650
(801) 507-1699

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10997512-1206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376015065
UT
Enumeration date
12/19/2018
Last updated
07/22/2020
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