Udy, Mark W

Udy, Mark W is an individual health care provider with primary practice located at 617 E Riverside Dr Ste 301 , St George UT 84790-8722. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Udy, Mark W can be contacted via phone (435) 216-7000.

Contact Information

Primary practice address
617 E Riverside Dr Ste 301 St George UT 84790-8722
Phone: (435) 216-7000
Fax: (435) 216-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1599 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6781192-1206 Utah

Profile Details

NPI number 1659405314
LBN Legal business name Udy, Mark W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Mar 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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