Individual
PETR RUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
275 W 200 N, LINDON, UT 84042-5009
(801) 796-1333
(801) 756-1705
Mailing address
275 W 200 N, LINDON, UT 84042-5009
(801) 796-1333
(801) 756-1705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7505511-4405
UT
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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