# STEPHEN L DONALDSON, M.D. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STEPHEN L DONALDSON, M.D. P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184937617
- **Legal business name:** STEPHEN L DONALDSON, M.D. P.C.
- **Authorized official:** STEPHEN DONALDSON M.D. (M.D.)
- **Authorized official phone:** (801) 375-6565

## Contact information

- **Practice address:** 1275 N UNIVERSITY AVE STE 10, PROVO, UT 84604-2679
- **Practice address phone:** (801) 375-6565
- **Practice address fax:** (801) 373-9750
- **Mailing address:** 1275 N UNIVERSITY AVE STE 10, PROVO, UT 84604-2679
- **Mailing address phone:** (801) 375-6565
- **Mailing address fax:** (801) 373-9750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 1800901205 | UT | Yes |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/26/2010