Organization
STONE CREEK FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BRET CHIPMAN M.D. (DOCTOR/OWNER)
(801) 465-1555
Entity
Organization
Contact information
Practice address
910 E 100 N, STE 105, PAYSON, UT 84651-1635
(801) 465-1555
(801) 465-1333
Mailing address
910 E 100 N, STE 105, PAYSON, UT 84651-1635
(801) 465-1555
(801) 465-1333
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5810651-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058003
MEDICAR GROUP
—
05
—
528398932001
—
UT
Enumeration date
06/24/2008
Last updated
06/24/2008
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