Individual
JONATHON PHILIP GARZTMAN JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-4398
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
12703426-1205
UT
Other
Enumeration date
11/18/2015
Last updated
06/24/2022
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