Individual
STEPHEN G PROTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
275 E 200 S, SALT LAKE CITY, UT 84111-2002
(800) 366-1884
(866) 360-6021
Mailing address
7210 N 16TH DR, PHOENIX, AZ 85021-7926
(602) 570-6856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0967
AZ
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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