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Individual

MARK W UDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
617 E RIVERSIDE DR STE 301, ST GEORGE, UT 84790-8722
(435) 216-7000
(435) 216-7001
Mailing address
617 E RIVERSIDE DR STE 301, ST GEORGE, UT 84790-8722
(435) 216-7000
(435) 216-7001

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6781192-1206
UT
363AM0700X
Medical Physician Assistant
PA1599
NV

Other

Enumeration date
03/15/2007
Last updated
03/29/2023
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