Robert W. Jordan Md Pc in Bountiful - Specialist
Robert W. Jordan Md Pc - NPI 1356506455
Robert W. Jordan Md Pc is a Specialist in Bountiful, Utah. Robert W. Jordan Md Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert W. Jordan Md Pc is 1356506455. The last update date is 2009-04-30.
Robert W. Jordan Md Pc's current location address is 1551 Renaissance Towne Dr, Bountiful, Utah. You can contact this provider via phone number 8012957200 and fax number 8012954930. The mailing address for Robert W. Jordan Md Pc is 1551 Renaissance Towne Dr, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert W. Jordan Md Pc |
|---|---|
| Address | 1551 Renaissance Towne Dr, Bountiful, Utah |
| Phone Number | 8012957200 |
| Fax Number | 8012954930 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CORPORATE |
|---|---|
| Authorized Official Name | Jordan W Robert |
| Credentials | MD |
| Telephone Number | 8012957200 |
NPI Number Detail
| NPI Number | 1356506455 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2009-04-30 |
Provider Mailing Address Detail
| Address | 1551 Renaissance Towne Dr |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 840107667 |
| Phone Number | 8012957200 |
| Fax Number | 8012954930 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 166068-1205 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Robert W. Jordan Md Pc by the Centers for Medicare & Medicaid Services?
The Robert W. Jordan Md Pc has been assigned the NPI (National Provider Identifier) 1356506455 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Robert W. Jordan Md Pc located?
The Robert W. Jordan Md Pc is located at 1551 Renaissance Towne Dr, Bountiful, UT 840107667.
What is Robert W. Jordan Md Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert W. Jordan Md Pc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356506455 to Robert W. Jordan Md Pc?
The Robert W. Jordan Md Pc received its 1356506455 assignment from the Centers for Medicare & Medicaid Services on 2008-07-28.
When was the information regarding Robert W. Jordan Md Pc most recently updated?
The details pertaining to the Robert W. Jordan Md Pc, including its address, specialty, and other relevant information, were last refreshed on 2009-04-30.