# DR. STEPHANIE GROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790187847
- **Gender:** F
- **Credential:** DAOM, MSTOM, L.AC.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 5295253-1201 | UT | Yes |

## Other

- **Enumeration date:** 09/19/2014
- **Last updated:** 10/18/2020