Individual
MITCHELL R UDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5774881-4101
UT
Other
Enumeration date
05/23/2006
Last updated
12/20/2021
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