IndividualActive
Jordan Schramm, MD
NPI 1588976328 · Pediatric Otolaryngology Physician · Provo, UT
Provider details
- NPI number
- 1588976328
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 9712365-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1055 N 300 W Ste 401
Provo, UT 84604-3306
Phone: (801) 357-7499
Fax: (801) 373-5980
Approximate (ZIP-level) locationGet directions
Mailing address
1055 N 300 W Ste 401
Provo, UT 84604-3306
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2017-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.