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Rudolf Otrusinik, MD
Cardiovascular Disease Physician in Logan, Utah
NPI 1003922394

Rudolf Otrusinik is a Cardiovascular Disease Physician based in Slc, UT and is specialized in Cardiovascular Disease. Rudolf Otrusinik practices in Logan, UT and has the professional credentials of MD. The NPI Number for Rudolf Otrusinik is 1003922394 and holds a License No. 95-292310-1205 (Utah).

The current practice location address for Rudolf Otrusinik is 1300 N 500 E, Logan, UT and can be reached out via phone at 435-755-8200 and via fax at 435-752-6094.

Location: 1300 N 500 E, Logan, UT, 84127-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003922394
Provider Name
Rudolf Otrusinik
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1300 N 500 E, Logan, UT, 84127-0128
Phone Number
435-755-8200
Fax Number
435-752-6094
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
581997 01 UT DMBA
87-0569381 01 UT TAX ID
107008634101 01 UT SELECTCARE
805433000 05 ID
060053972 01 UT RR MEDICARE
53687 01 UT PEHP
institution
Provider Business Practice Location Address Details
Address
1300 N 500 E
City
Logan
State
Utah
Zip
84341-2408
Phone Number
435-755-8200
Fax Number
435-752-6094
person
Provider Business Mailing Address Details
Address
1300 N 500 E
City
Logan
State
Utah
Zip
84341-2408
Phone Number
435-755-8200
Fax Number
435-752-6094
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
95-292310-1205 (Utah)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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