Robert W Jordan
Orthopaedic Surgeon
1551 S Renaissance Towne Dr #400
Bountiful
, Utah 84010
Robert W Jordan
Orthopaedic Surgeon
1551 S Renaissance Towne Dr #400
Bountiful
, Utah 84010
(801) 295-4930
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Robert W Jordan
- 1551 S Renaissance Towne Dr #400
- Bountiful, UT
- Zip : 84010
- Fax : (801) 295-4930
- Phone : (801) 295-7200
Second Address
- Robert W Jordan
- 1551 S Renaissance Towne Dr #400
- Bountiful, UT
- Zip : 84010
- Fax : (801) 295-4930
- Phone : (801) 295-7200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 1660681205 | UT |
National Provider Identifier
| NPI | 1013086883 |
|---|---|
| Provider Name | Robert W Jordan |
| First Address | Bountiful, UT 84010 |
| Second Address | Bountiful, UT 84010 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D07361 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.