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Individual

MICHAEL FRANCIS COUDREAUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 C ST, SALT LAKE CITY, UT 84143-1005
(801) 408-3012
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2786461205
UT

Other

Enumeration date
11/08/2006
Last updated
11/17/2010
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