Organization
STONEBROOK MEDICAL L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA L LOVELESS (MANAGER/OWNER)
(801) 763-7803
Entity
Organization
Contact information
Practice address
36 N 1100 E, SUITE D, AMERICAN FORK, UT 84003-2918
(801) 763-7803
(801) 763-7810
Mailing address
36 N 1100 E, SUITE D, AMERICAN FORK, UT 84003-2918
(801) 763-7803
(801) 763-7810
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4591
UT
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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