Individual
DR. JORDAN REED JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2325
Mailing address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2325
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10382605-8905
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2011
Last updated
11/05/2018
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