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Individual

DR. STEFAN PULST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-6387
Mailing address
PO BOX 413027, SALT LAKE CITY, UT 84141-3027
(801) 213-3900

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
70401321205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00745300
RAILROAD MEDICARE
Enumeration date
03/21/2007
Last updated
11/12/2021
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