Individual
STEPHEN ADAM SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 VILLAGE DR DEPT 2801, OGDEN, UT 84408-2801
(801) 626-6000
Mailing address
2042 JACKSON AVE, OGDEN, UT 84401
(307) 851-6368
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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