Individual
TAMARA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
252 S 500 E, SALT LAKE CITY, UT 84102-2030
(801) 236-7710
Mailing address
252 S 500 E, SALT LAKE CITY, UT 84102-2030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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