Individual
JUDITH STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-7457
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10498651-1205
UT
Other
Enumeration date
03/31/2016
Last updated
03/29/2022
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