person
Brian P Tudor, MD
Hematology & Oncology Physician in Provo, Utah
NPI 1699877308

Brian P Tudor is a Hematology & Oncology Physician based in Provo, UT and is specialized in Hematology & Oncology. Brian P Tudor practices in Provo, UT and has the professional credentials of MD. The NPI Number for Brian P Tudor is 1699877308 and holds a License No. 1658161205 (Utah).

The current practice location address for Brian P Tudor is 1055 N 500 W, Provo, UT and can be reached out via phone at 801-354-8225 and via fax at 801-429-8150.

Location: 1055 N 500 W, Provo, UT, 84604-3305
person
Provider Profile Details
NPI Number
1699877308
Provider Name
Brian P Tudor
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W, Provo, UT, 84604-3305
Phone Number
801-354-8225
Fax Number
801-429-8150
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110019670 01 UT PALMETTO
QM0000009167 01 UT ALTIUS
30-00029 01 UT UNITED HEALTHCARE
107006264101 01 UT IHC
14055 01 UT PEHP
870281028000 05 UT
870281028TU1 01 UT EMIA
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W
City
State
Zip
84604-3305
Phone Number
801-354-8225
Fax Number
801-429-8150
person
Provider Business Mailing Address Details
Address
1055 N 500 W
City
State
Zip
84604-3305
Phone Number
801-354-8225
Fax Number
801-429-8150
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
1658161205 (Utah)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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