Individual
CARRIE EMILY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5131 S COTTONWOOD ST # L-2, MURRAY, UT 84107-5701
(801) 263-3416
(801) 263-3416
Mailing address
1121 E 3900 S, STE C230, SALT LAKE CITY, UT 84124-1297
(801) 262-9494
(866) 415-6807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9895825-1206
UT
Other
Enumeration date
09/06/2016
Last updated
04/25/2017
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