# DUDLEY MEDICAL AND WELLNESS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700125416
- **Authorized official:** DR. MARK DUDLEY D.C. (OWNER)
- **Authorized official phone:** (801) 359-3995

## Contact information

- **Practice address:** 1053 E 2100 S, SALT LAKE CITY, UT 84106-2349
- **Practice address phone:** (801) 359-3995
- **Practice address fax:** (801) 359-8489
- **Mailing address:** 1053 E 2100 S, SALT LAKE CITY, UT 84106-2349
- **Mailing address phone:** (801) 359-3995
- **Mailing address fax:** (801) 359-8489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2013
- **Last updated:** 08/21/2014