Individual
DR. JACK DUNYON STRINGHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N 300 W STE 500, PROVO, UT 84604-3312
(801) 357-7704
Mailing address
1055 N 300 W STE 500, PROVO, UT 84604-3312
(801) 357-7704
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
10775122-1205
UT
207W00000X
Ophthalmology Physician
ME127417
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
107751221205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2012
Last updated
08/16/2023
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