Individual
JUSTIN STANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1400 S DEPOT DR, OGDEN, UT 84404-5573
(801) 778-6700
Mailing address
5434 S 3675 W, ROY, UT 84067-9243
(801) 726-3578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9415330-4405
UT
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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