Healthcare Provider Details

I. General information

NPI: 1821785270
Provider Name (Legal Business Name): FAMILIES FIRST PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5459 W 7800 S # 100
WEST JORDAN UT
84081-6023
US

IV. Provider business mailing address

1320 W SOUTH JORDAN PKWY
SOUTH JORDAN UT
84095-8847
US

V. Phone/Fax

Practice location:
  • Phone: 801-254-9700
  • Fax: 801-254-9755
Mailing address:
  • Phone: 801-254-9700
  • Fax: 801-254-9755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JOANN AHYOU
Title or Position: OFFICE MANAGER
Credential:
Phone: 801-679-3031