Individual
NATHAN M RUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1940 S 1100 E, SALT LAKE CITY, UT 84106-2317
(801) 448-2094
(801) 657-4662
Mailing address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(503) 435-4514
(503) 472-8691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
73767701205
UT
207Q00000X
Family Medicine Physician
Primary
MD187005
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982866679
—
UT
Enumeration date
06/25/2008
Last updated
04/30/2018
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