Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN RUSSELL ROBERTS, M.D.
ActiveDR. JORDAN RUSSELL ROBERTS, M.D. is a Family Medicine healthcare provider located in HOLLADAY, Utah. NPI 1588043871 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HOLLADAY, UT
Registration Details
- NPI Number
- 1588043871
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2015 (11.238386040282 yrs)
- Last Updated
- Sep 15, 2018
- License
-
9897039-1205 (UT)
Practice Information
- Address
-
999 E MURRAY HOLLADAY RD STE 207HOLLADAY, UT, 841175093Browse UT providers · Browse ZIP 84117
- Phone
- 8012682584
- Fax
- 8012621168
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in HOLLADAY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. DOUGLAS ROLAND SMITH | M.D. | 1174681928 |
| KARL CHEN | MD | 1598183030 |
| AJAY GIRI | MD | 1861075061 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.