Individual
RODNEY J MUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3556 W 9800 S, SUITE 101, SOUTH JORDAN, UT 84095-3211
(801) 567-9780
Mailing address
3556 W 9800 S, SUITE 101, SOUTH JORDAN, UT 84095-3211
(801) 567-9780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054627A
IN
207Q00000X
Family Medicine Physician
7999692-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200442080
—
IN
Enumeration date
03/02/2006
Last updated
10/26/2011
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