Individual
JORDAN DEAN PITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 W BOURNE CIR, FARMINGTON, UT 84025-3656
(801) 773-4840
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-2923
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
12722086-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2017
Last updated
06/01/2022
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