Jordan Alec Derbidge
Jordan Alec Derbidge is a Student in an Organized Health Care Education/Training Program in Bountiful, Utah. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
1810 S 75 EBountiful, UT 84010-5544
Phone: (801) 792-3518
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1295671857 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2026 |
| Last updated in NPPES | April 27, 2026 |
| Certification date | April 27, 2026 |
| Mailing address | 1810 S 75 E, Bountiful, UT 84010-5544 |
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