Individual
DR. RON ZUIDERWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5285 S 400 E STE B, WASHINGTON TERRACE, UT 84405-7194
(801) 779-3500
(801) 779-3508
Mailing address
3702 S STATE ST STE 107, SOUTH SALT LAKE, UT 84115-5096
(801) 288-2634
(801) 288-1186
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
13277025-1204
UT
207RN0300X
Nephrology Physician
4370
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386680387
—
UT
05
—
145467
—
AZ
01
—
4370
AZ MEDICAL LICENSE
AZ
Enumeration date
06/20/2006
Last updated
05/09/2024
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