Organization
GOOD SHEPHERD MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL LEFEVOR MBA (ADMINISTRATOR)
(801) 574-9566
Entity
Organization
Contact information
Practice address
3584 W 9000 S STE 300, WEST JORDAN, UT 84088-5711
(801) 277-6474
(877) 789-0498
Mailing address
3584 W 9000 S STE 300, WEST JORDAN, UT 84088-5711
(801) 277-6474
(877) 789-0498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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