Individual
MR. TODD RYAN SUDIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3770
(814) 375-3772
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3770
(814) 375-3772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021318
PA
Other
Enumeration date
01/21/2020
Last updated
02/26/2020
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