Individual
JORDAN CARLTON SCHRAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 300 W STE 401, PROVO, UT 84604-3306
(801) 357-7499
(801) 373-5980
Mailing address
1055 N 300 W STE 401, PROVO, UT 84604-3306
(801) 357-7499
(801) 373-5980
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
9712365-1205
UT
207YP0228X
Pediatric Otolaryngology Physician
Primary
9712365-1205
UT
Other
Enumeration date
07/09/2010
Last updated
10/20/2017
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