Individual
MS. STACIE CARBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84721-9746
(435) 868-5000
Mailing address
1303 N MAIN ST, CEDAR CITY, UT 84721-9746
(435) 868-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3653831206
UT
Other
Enumeration date
06/16/2008
Last updated
01/21/2021
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