OrganizationActive
Advanced Orthopedics and Sports Medicine
NPI 1114959616 · Specialist · West Jordan, UT
Provider details
- NPI number
- 1114959616
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Carl Johnson, Clinic Manager(801) 568-3480
- License
- 22772 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
8785 Jordan Valley Way
West Jordan, UT 84088-9772
Phone: (801) 568-3480
Fax: (801) 568-3482
Approximate (ZIP-level) locationGet directions
Mailing address
8785 Jordan Valley Way
West Jordan, UT 84088-9772
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.