Organization
WEST JORDAN FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT J. EARL M.D. (OWNER)
(801) 266-1088
Entity
Organization
Contact information
Practice address
6783 S REDWOOD RD STE 103, WEST JORDAN, UT 84084-5685
(801) 266-1088
(801) 266-1088
Mailing address
6783 S REDWOOD RD STE 103, WEST JORDAN, UT 84084-5685
(801) 266-1088
(801) 266-1088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51103011205
UT
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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