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Individual

RYAN THOMAS SUDWEEKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
691 E 400 N STE 110, VINEYARD, UT 84059-7509
(385) 666-9600
Mailing address
PO BOX 912042, ST GEORGE, UT 84791-2042
(435) 215-0228
(435) 986-7092

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14139378-1206
UT

Other

Enumeration date
04/17/2022
Last updated
02/21/2025
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