Individual
MR. ERIC WILLIAM STEPHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
7321 11TH ST, HILL AFB, UT 84056-5012
(801) 777-5400
(801) 586-9741
Mailing address
702 E 400 S, CLEARFIELD, UT 84015-1108
(801) 309-8807
(801) 586-9741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008288
WA
Other
Enumeration date
09/02/2005
Last updated
07/08/2007
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