Individual
MCKENZIE ELISE STENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1433 N 1075 W STE 104, FARMINGTON, UT 84025-2746
(801) 298-1300
Mailing address
PO BOX 25488, SALT LAKE CITY, UT 84125-0488
(800) 475-3698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
74623481206
UT
Other
Enumeration date
08/27/2018
Last updated
02/19/2019
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