Individual
MRS. JILL D MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8211 W 3500 S, MAGNA, UT 84044-1851
(801) 250-9638
(801) 250-3204
Mailing address
8211 W 3500 S, MAGNA, UT 84044-1851
(801) 250-9638
(801) 250-3204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A79491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0028551
—
CA
Enumeration date
08/14/2006
Last updated
07/09/2007
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