Organization
WEST JORDAN MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA A ONEIDA M.D. (OWNER)
(801) 567-5990
Entity
Organization
Contact information
Practice address
3570 W 9000 S STE 200, WEST JORDAN, UT 84088-8875
(801) 566-9211
(801) 566-5667
Mailing address
3570 W 9000 S, STE 200, WEST JORDAN, UT 84088-8869
(801) 566-9211
(801) 566-5667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529903072047
—
UT
Enumeration date
07/01/2006
Last updated
04/25/2013
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