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Contact Information

JORDAN D PITT, MD
444 W BOURNE CIR
FARMINGTON, UT84025-3656
 Phone: 801-773-4840
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JORDAN D PITT · (Male)

NPI # 1841724986
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2017
Last updated 06/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 12722086-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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