IndividualActive
Addison Udall
NPI 1356037998 · Student in an Organized Health Care Education/Training Program · South Jordan, UT
Provider details
- NPI number
- 1356037998
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
10894 S River Front Pkwy
South Jordan, UT 84095-5609
Phone: (801) 878-1200
Approximate (ZIP-level) locationGet directions
Mailing address
1801 Wedemeyer St Unit 412
San Francisco, CA 94129-5279
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2023-04-17
- Certified
- 2023-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.