Individual
SARAH E HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5171 S COTTONWOOD ST STE 210, SALT LAKE CITY, UT 84107-5718
(801) 507-3380
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-3380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11435253-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083189880
—
UT
Enumeration date
10/08/2018
Last updated
12/23/2024
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