Whalio Doctors

NPI 1588976328

Jordan Carlton Schramm, MD

Practitioner Pediatric Otolaryngology Physician Provo, UT

Practice location

Address
1055 N 300 W STE 401, Provo, UT 84604-3306
Phone
(801) 357-7499
Fax
(801) 373-5980

Registered specialties (2)

Pediatric Otolaryngology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence 9712365-1205 (UT)
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 9712365-1205 (UT)

Registry record

NPI
1588976328
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jul 2010
Record last updated
20 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.