Individual
STEPHEN TAKASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5 E 400 N, SPRINGVILLE, UT 84663-1347
(801) 489-8464
(801) 798-8513
Mailing address
336 W 100 S, SPANISH FORK, UT 84660-5881
(801) 798-7301
(801) 798-8513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13479382-1204
UT
Other
Enumeration date
04/09/2019
Last updated
08/31/2023
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