Individual
DR. STEPHEN L DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W STE 201, PROVO, UT 84604-3305
(801) 375-6565
(801) 373-9750
Mailing address
509 E 4190 N, PROVO, UT 84604-5156
(801) 888-5234
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
180090-1205
UT
Other
Enumeration date
10/20/2005
Last updated
09/26/2019
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