Doctor Name: | RUDOLF OTRUSINIK |
NPI Number: | 1003922394 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 95-292310-1205 |
Business Practice Address: | 1300 N 500 E Suite 320 Logan, UT - 843412408 |
Business Phone Number: | 4357558200 |
Business Fax Number: | 4357526094 |
Mailing Address: | Po Box 27128, SLC |
State: | UT |
Postal Code: | 841270128 |
Phone Number: | 4357558200 |
Fax Number: | 4357526094 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 08/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 95-292310-1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |