| Darren B. Jenkins, D.o.,p.c. | |
|
1561 W 7000 S Suite 200 West Jordan UT 84084-3556 | |
| (801) 562-5300 | |
| (801) 562-1883 |
| Full Name | Darren B. Jenkins, D.o.,p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1561 W 7000 S, West Jordan, Utah |
| Authorized Official Name and Position | Darren Boyd Jenkins (OWNER/PRESIDENT) |
| Authorized Official Contact | 8015625300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Darren B. Jenkins, D.o.,p.c. 6933 S 1300 W West Jordan UT 84084-2554 Ph: (801) 542-8080 | Darren B. Jenkins, D.o.,p.c. 1561 W 7000 S Suite 200 West Jordan UT 84084-3556 Ph: (801) 562-5300 |
| NPI Number | 1093026056 |
|---|---|
| Provider Enumeration Date | 06/24/2010 |
| Last Update Date | 10/22/2014 |
| Medicare PECOS PAC ID | 7315071016 |
|---|---|
| Medicare Enrollment ID | O20100817000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093026056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7540742-1204 (Utah) | Primary |
| Provider Name | Darren B Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508076753 PECOS PAC ID: 8224162920 Enrollment ID: I20100817000924 |
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