Individual
DR. JASON MARK HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1175 E 50 S, SUITE 241, AMERICAN FORK, UT 84003-0000
(801) 492-5999
(801) 418-0897
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6581201-1204
UT
Other
Enumeration date
07/05/2006
Last updated
11/27/2023
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