Organization
JC ALJAMMAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JOHN (CREDENTIALING COORDINATOR)
(801) 231-6986
Entity
Organization
Contact information
Practice address
4465 S 900 E STE 200, SALT LAKE CITY, UT 84124-2695
(412) 996-0131
(801) 683-6845
Mailing address
PO BOX 520247, SALT LAKE CITY, UT 84152-0247
(412) 996-0131
(801) 683-6845
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
07/17/2019
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