Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
SOWJ SURG ONC W JOR, CommonSpirit General & Breast Surgery Jordan Valley, General & Breast Surgery Jordan Valley, Surgical Oncology West Jordan
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JO SKINNER (DIRECTOR, OFFICE OF MEDICAL AFFAIRS)
(720) 667-7283
Entity
Organization
Contact information
Practice address
3592 W 9000 S STE 210, WEST JORDAN, UT 84088-8819
(801) 208-1050
(801) 208-6376
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
03/20/2023
Last updated
02/14/2025
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