Provider Demographics
NPI:1871577031
Name:RODIER, HUGO E (MD)
Entity type:Individual
Prefix:DR
First Name:HUGO
Middle Name:E
Last Name:RODIER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11075 S STATE ST
Mailing Address - Street 2:STE 31A
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-5178
Mailing Address - Country:US
Mailing Address - Phone:801-576-1086
Mailing Address - Fax:801-576-9796
Practice Address - Street 1:11075 S STATE ST
Practice Address - Street 2:STE 31A
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-5178
Practice Address - Country:US
Practice Address - Phone:801-576-1086
Practice Address - Fax:801-576-9796
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-01
Last Update Date:2020-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT891818251205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTC47900Medicare UPIN