Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Primary Care Jordan Valley, IMWJ INT MED W JOR, Internal Medicine West Jordan
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
3570 W 9000 S STE 100, WEST JORDAN, UT 84088-8871
(801) 903-5620
(801) 569-2384
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
02/17/2025
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