Individual
JORDAN A. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N. MARIO CAPECCHI DRIVE RM 4S100, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 N. MARIO CAPECCHI DRIVE RM 4S100, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13510290-1205
UT
Other
Enumeration date
03/07/2022
Last updated
08/08/2023
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