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Organization

STEPHEN L DONALDSON, M.D. P.C.

Active
Parent organization
STEPHEN L DONALDSON, M.D. P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
STEPHEN L DONALDSON, M.D. P.C.
Authorized official
STEPHEN DONALDSON M.D. (M.D.)
(801) 375-6565
Entity
Organization

Contact information

Practice address
1275 N UNIVERSITY AVE STE 10, PROVO, UT 84604-2679
(801) 375-6565
(801) 373-9750
Mailing address
1275 N UNIVERSITY AVE STE 10, PROVO, UT 84604-2679
(801) 375-6565
(801) 373-9750

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1800901205
UT

Other

Enumeration date
07/26/2010
Last updated
07/26/2010
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