Organization
JORDAN RIDGE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY D CASTILLO (MEDICAL STAFF MANAGER)
(702) 480-2550
Entity
Organization
Contact information
Practice address
6321 S REDWOOD RD, STE 201, SALT LAKE CITY, UT 84123-6798
(801) 265-2212
(801) 265-0103
Mailing address
6321 S REDWOOD RD, SUITE 201, SALT LAKE CITY, UT 84123-6798
(801) 265-2212
(801) 265-0103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
07/31/2023
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