Individual
DR. JORDAN RUSSELL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 E MURRAY HOLLADAY RD STE 207, HOLLADAY, UT 84117-5093
(801) 268-2584
(801) 262-1168
Mailing address
999 E MURRAY HOLLADAY RD STE 207, HOLLADAY, UT 84117-5093
(801) 268-2584
(801) 262-1168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9897039-1205
UT
Other
Enumeration date
05/20/2015
Last updated
09/15/2018
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