Search › Utah › 363A00000X
Jordan Mecham, PA
NPI 1518274844 · on the registry since 2010
Practice
- Address
- 1055 N 500 W
Provo, UT 84604 - Phone
- (801) 429-8000
- Fax
- (801) 429-8150
- Organisation at this address
- Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 236
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah