Individual
RODOLFO MARTINEZ FERRATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1226 W SOUTH JORDAN PKWY, SUITE C, SOUTH JORDAN, UT 84095-6023
(801) 432-7914
(801) 994-1393
Mailing address
1192 E DRAPER PKWY # 404, DRAPER, UT 84020-9356
(385) 351-4911
(801) 994-1393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61493941205
UT
207QS1201X
Sleep Medicine (Family Medicine) Physician
6149394-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05155056
ECFMG/USMLE
—
05
—
D7005
—
UT
Enumeration date
02/11/2006
Last updated
03/07/2023
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