# STAT MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225411473
- **Authorized official:** BRYAN R KNEPPER (OWNER)
- **Authorized official phone:** (435) 604-0160

## Contact information

- **Practice address:** 1784 UINTA WAY, PARK CITY, UT 84098-7669
- **Practice address phone:** (435) 731-8328
- **Mailing address:** PO BOX 981630, PARK CITY, UT 84098-1630
- **Mailing address phone:** (435) 604-0160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015