Individual
MR. JUDE D SELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 W COUGAR BLVD STE 205, PROVO, UT 84604-3328
(801) 357-1770
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(808) 293-9231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9590578-8905
UT
207Q00000X
Family Medicine Physician
MD-18834
HI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/05/2013
Last updated
03/21/2023
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