Organization
STAT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN R KNEPPER (OWNER)
(435) 604-0160
Entity
Organization
Contact information
Practice address
1784 UINTA WAY, PARK CITY, UT 84098-7669
(435) 731-8328
Mailing address
PO BOX 981630, PARK CITY, UT 84098-1630
(435) 604-0160
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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