Individual
BRODON KENNETH URRUTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-1000
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13212201-1204
UT
207P00000X
Emergency Medicine Physician
34-010116
OH
Other
Enumeration date
04/22/2009
Last updated
03/28/2026
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