Shadow Mountain Family Physicians in West Jordan - Family Medicine

Shadow Mountain Family Physicians - NPI 1417125139

Shadow Mountain Family Physicians is a Family Medicine in West Jordan, Utah. Shadow Mountain Family Physicians practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shadow Mountain Family Physicians is 1417125139. The last update date is 2008-04-01.

Shadow Mountain Family Physicians's current location address is 7800 S 3855 W, West Jordan, Utah. You can contact this provider via phone number 8012825952 and fax number 8012825951. The mailing address for Shadow Mountain Family Physicians is 7800 S 3855 W, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shadow Mountain Family Physicians
Address 7800 S 3855 W, West Jordan, Utah
Phone Number 8012825952
Fax Number 8012825951
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kasper Joseph
Credentials MD
Telephone Number 8012825952

NPI Number Detail

NPI Number 1417125139
Provider Enumeration Date 2008-02-15
Last Updated Date 2008-04-01

Provider Mailing Address Detail

Address 7800 S 3855 W
City West Jordan
State Utah (UT)
Post Code 84084
Phone Number 8012825952
Fax Number 8012825951

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 346744-1205
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Shadow Mountain Family Physicians

What is the unique 10-digit identifier code issued to Shadow Mountain Family Physicians by the Centers for Medicare & Medicaid Services?

The Shadow Mountain Family Physicians has been assigned the NPI (National Provider Identifier) 1417125139 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Shadow Mountain Family Physicians is located?

The Shadow Mountain Family Physicians is situated at the following address: 7800 S 3855 W, West Jordan, UT, 84084.

What is Shadow Mountain Family Physicians's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shadow Mountain Family Physicians is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

When did Shadow Mountain Family Physicians receive its 1417125139 assignment?

The Shadow Mountain Family Physicians was assigned its 1417125139 on 2008-02-15, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Shadow Mountain Family Physicians most recently updated or revised?

The information pertaining to Shadow Mountain Family Physicians, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-01.

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