Individual
JACKSON M RHUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 S 1100 E STE 205, SALT LAKE CITY, UT 84102-1580
(801) 363-7353
(801) 363-7574
Mailing address
24 S 1100 E STE 102, SALT LAKE CITY, UT 84102-1565
(801) 363-7353
(801) 363-7574
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
156694-1205
UT
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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