Individual
DR. CLARK JOHN STAHELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8555 NORTH HIGHWAY 18, DAMMERON VALLEY, UT 84783
(435) 574-2546
(435) 574-2619
Mailing address
8555 NORTH HIGHWAY 18, DAMMERON VALLEY, UT 84783
(801) 429-8000
(801) 429-8150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
148105-1205
UT
207Q00000X
Family Medicine Physician
1481051205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03698
—
UT
Enumeration date
02/15/2007
Last updated
03/22/2011
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