Organization
GREENWOOD FAMILY CLINIC LLC
Active
Other names
other
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY TICHENOR (OWNER)
(385) 490-6264
Entity
Organization
Contact information
Practice address
3352 W SOUTH JORDAN PKWY # 8, SOUTH JORDAN, UT 84095-8938
(385) 490-6264
Mailing address
3352 W SOUTH JORDAN PKWY # 8, SOUTH JORDAN, UT 84095-8938
(385) 490-6264
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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