Individual
MR. JASON M STAHELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3903 HARRISON BLVD STE 100, OGDEN, UT 84403-2361
(801) 387-8900
(801) 387-8920
Mailing address
5444 S GREEN ST, MURRAY, UT 84123-5632
(801) 313-4140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9291078-1206
UT
Other
Enumeration date
02/03/2015
Last updated
02/14/2019
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