MEDICARE: DR. RONALD RAYMOND TRUDEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	4866189-1205	UT
2	208M00000X	Hospitalist Physician	4866189-1205	UT
3	208M00000X	Hospitalist Physician	48661891205	UT
4	207R00000X	Internal Medicine Physician	4866189-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	48661891202001	OTHER	UT	BCBS
2	2203454002	OTHER	UT	CIGNA

General Provider Information

NPI Number	:	1962455626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD RAYMOND TRUDEL MD

Provider Business Mailing Address
First Line	:	3465 E MAGIC HILLS CIR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-7243
Country	:	US
Telephone Number	:	801-891-9313
Fax Number	:	801-944-2472

Provider Business Practice Location Address
First Line	:	3465 MAGIC HILLS CIRCLE
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-0000
Country	:	US
Telephone Number	:	801-891-9313
Fax Number	:	801-944-2472

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	11/23/2021

Similar Medicare Providers

1649872649 — ERICA PATRICIA ANDERSON
Practice Location Address:

69010 HIGHLAND DR #1, COTTONWOOD HEIGHTS, UT 84121
COTTONWOOD HEIGHTS, UT
84121-0000

Practice Phone: 801-935-4171
Practice Fax: --

1558468009 — NINA MARIE MANN FNP
Practice Location Address:

100 NORTH MARIO CAPPECHI WAY
SALT LAKE CITY, UT
84113-0000

Practice Phone: 801-662-2840
Practice Fax: 801-662-2868

1073767596 — RAPID ORTHOPEDIC CARE CLINIC LLC
Practice Location Address:

821 EAST 400 SOUTH
SALT LAKE CITY, UT
84102-0000

Practice Phone: 801-708-7999
Practice Fax: 801-708-7998

1629486675 — JANET P WEIDNER
Practice Location Address:

2000 CIRCLE OF HOPE DRIVE , HUNTSMAN CANCER INSTITUTE
SALT LAKE CITY, UT
84112-0000

Practice Phone: 860-966-5066
Practice Fax:

1790060663 — WENDY L MCGUIRE PTA
Practice Location Address:

1948 MESQUITE AVE , SUITE 101
LAKE HAVASU CITY, AZ
86403-0000

Practice Phone: 928-854-4776
Practice Fax: 928-854-4857

1780055590 — LISA STEKERT LCSW
Practice Location Address:

600 NORTH LAKE BLVD
TAHOE CITY, CA
96145-0000

Practice Phone: 530-412-1713
Practice Fax:

Directions to “ DR. RONALD RAYMOND TRUDEL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.