Individual
BARRY R STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
4501 N UNIVERSITY AVE, PROVO, UT 84604-5504
(801) 227-2003
Mailing address
4501 N UNIVERSITY AVE, PROVO, UT 84604-5504
(801) 227-2003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
263648-1206
UT
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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