Individual
SUSAN RODDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-3364
(801) 387-3259
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-3364
(801) 387-3259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009259-4405
UT
Other
Enumeration date
11/02/2015
Last updated
01/14/2016
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