Individual
SEAN MANNING UDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 ROUND VALLEY DR STE 201, PARK CITY, UT 84060-7549
(435) 649-7680
Mailing address
750 ROUND VALLEY DR STE 201, PARK CITY, UT 84060-7549
(435) 649-7680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT218016
PA
2084P0800X
Psychiatry Physician
Primary
13141285-1205
UT
2084P0800X
Psychiatry Physician
MD474556
PA
2084P0800X
Psychiatry Physician
MT218016
PA
Other
Enumeration date
03/25/2019
Last updated
04/03/2023
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