Individual
MARC R UDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 W 400 N, OREM, UT 84057-1950
(801) 714-3450
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 714-3450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
781621361205
UT
Other
Enumeration date
07/29/2006
Last updated
09/08/2021
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