Individual
TREVOR DURRANT JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 YELLOW CREEK RD, EVANSTON, WY 82930-5227
(307) 789-0535
Mailing address
811 S 200 E, FARMINGTON, UT 84025-2102
(801) 660-9623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11338036-1701
UT
183500000X
Pharmacist
Primary
4484
WY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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