| Nate Ruden Md Llc | |
|
224 B Street Salt Lake City UT 84103-2509 | |
| (801) 448-2094 | |
| (801) 657-4662 |
| Full Name | Nate Ruden Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 224 B Street, Salt Lake City, Utah |
| Authorized Official Name and Position | Nate M Ruden (OWNER/MD) |
| Authorized Official Contact | 8014482094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nate Ruden Md Llc 224 B Street Salt Lake City UT 84103-2509 Ph: (801) 448-2094 | Nate Ruden Md Llc 224 B Street Salt Lake City UT 84103-2509 Ph: (801) 448-2094 |
| NPI Number | 1366733040 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366733040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 73767701205 (Utah) | Primary |
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