Individual provider · Type 1 NPI

Jacob Stephen Luddington, MD

Student in an Organized Health Care Education/Training Program · Murray, UT

NPI number 1285572701 Active

Practice location

5121 S Cottonwood St
Murray, UT 84107-5701

Mailing address

306 N Homestead Ln
Fruit Heights, UT 84037-3607

Other practice locations

  • 50 N Medical Dr, Salt Lake City, UT 84132-0001 · (801) 581-2121

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285572701

Jacob Stephen Luddington, MD's National Provider Identifier is 1285572701, issued on Mar 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Murray, UT. The record was last updated on Mar 24, 2026.