| Shed | |
|
10813 S River Front Pkwy Ste 550 South Jordan UT 84095-5649 | |
| (209) 380-3200 | |
| Not Available |
| Full Name | Shed |
|---|---|
| Speciality | Clinic/center |
| Location | 10813 S River Front Pkwy Ste 550, South Jordan, Utah |
| Authorized Official Name and Position | Morley Baker (OWNER) |
| Authorized Official Contact | 2093803200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shed 10813 S River Front Pkwy Ste 550 South Jordan UT 84095-5649 | Shed 10813 S River Front Pkwy Ste 550 South Jordan UT 84095-5649 Ph: (209) 380-3200 |
| NPI Number | 1477264182 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 09/08/2025 |
| Certification Date | 09/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477264182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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