Organization
SHADOW MOUNTAIN FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH KASPER MD (PRESIDENT)
(801) 282-5952
Entity
Organization
Contact information
Practice address
7800 SOUTH 3855 WEST, 100, WEST JORDAN, UT 84088
(801) 282-5952
(801) 282-5951
Mailing address
7800 S 3855 W, #100, WEST JORDAN, UT 84084
(801) 282-5952
(801) 282-5951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
346744-1205
UT
Other
Enumeration date
02/15/2008
Last updated
04/01/2008
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