Individual
GREGG J STEPHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5848 S FASHION BLVD STE 120, MURRAY, UT 84107-6157
(801) 314-4900
(801) 314-4919
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1003
CO
363AS0400X
Surgical Physician Assistant
Primary
6717503-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07010036
—
CO
Enumeration date
10/02/2006
Last updated
11/07/2024
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