| Jcd Enterprises, Llc | |
|
3352 W Merryvale Cir Riverton UT 84065-6045 | |
| (801) 903-1122 | |
| Not Available |
| Full Name | Jcd Enterprises, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3352 W Merryvale Cir, Riverton, Utah |
| Authorized Official Name and Position | Jared Dunn (OWNER) |
| Authorized Official Contact | 8014195024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcd Enterprises, Llc Po Box 521593 Salt Lake City UT 84152-1593 Ph: () - | Jcd Enterprises, Llc 3352 W Merryvale Cir Riverton UT 84065-6045 Ph: (801) 903-1122 |
| NPI Number | 1114326709 |
|---|---|
| Provider Enumeration Date | 08/19/2014 |
| Last Update Date | 12/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114326709 | NPI | - | NPPES |
| 9115648-0160 | Other | UT | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9115648-0160 (Utah) | Primary |
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