Tudor, Brian P

Tudor, Brian P is an individual health care provider with primary practice located at 1055 N 500 W Suite 202, Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Tudor, Brian P can be contacted via phone (801) 354-8225.

Contact Information

Primary practice address
1055 N 500 W Suite 202 Provo UT 84604-3305
Phone: (801) 354-8225
Fax: (801) 429-8150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 1658161205 Utah

Profile Details

NPI number 1699877308
LBN Legal business name Tudor, Brian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Oct 1st, 2021 - about 5 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1699877308 NPPES
Utah Other 110019670 PALMETTO
Utah Other QM0000009167 PALMETTO
Utah Other 30-00029 PALMETTO
Utah Other 107006264101 PALMETTO
Utah Other 14055 PALMETTO
Utah MEDICAID 870281028000 PALMETTO
Utah Other 870281028TU1 PALMETTO

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