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Addison Udall
Student in an Organized Health Care Education/Training Program in South Jordan, Utah
NPI 1356037998

Addison Udall is a Student in an Organized Health Care Education/Training Program based in San Francisco, UT. Addison Udall practices in South Jordan, UT. The NPI Number for Addison Udall is 1356037998 and holds a License No. (Utah).

The current practice location address for Addison Udall is 10894 S River Front Pkwy, South Jordan, UT and can be reached out via phone at 801-878-1200.

Location: 10894 S River Front Pkwy, South Jordan, UT, 94129-5279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356037998
Provider Name
Addison Udall
Credential
Provider Entity Type
Individual
Gender
Male
Address
10894 S River Front Pkwy, South Jordan, UT, 94129-5279
Phone Number
801-878-1200
Fax Number
Provider Enumeration Date
04/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10894 S River Front Pkwy
City
South Jordan
State
Utah
Zip
84095-5609
Phone Number
801-878-1200
Fax Number
person
Provider Business Mailing Address Details
Address
10894 S River Front Pkwy
City
South Jordan
State
Utah
Zip
84095-5609
Phone Number
801-878-1200
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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