Organization
THE SPORTS MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIBRAN BORJA (OWNER)
(801) 448-2218
Entity
Organization
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 448-2218
Mailing address
4645 W S JORDAN PKWY, SOUTH JORDAN, UT 84009-5761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
10/16/2025
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