Organization
OUTREACH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY LAWRENCE STELTER MD (MD)
(801) 644-5121
Entity
Organization
Contact information
Practice address
3385 W 2525 N, PLAIN CITY, UT 84404-9228
(801) 644-5121
Mailing address
3385 W 2525 N, PLAIN CITY, UT 84404-9228
(801) 644-5121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
309877-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
309877-1205
LICENSE
UT
Enumeration date
07/12/2017
Last updated
10/09/2017
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