Individual
DOUGLAS STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 S 500 W UNIT 1205, SALT LAKE CITY, UT 84101-4127
(217) 721-2265
Mailing address
5 S 500 W UNIT 1205, SALT LAKE CITY, UT 84101-4127
(217) 721-2265
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
123456
IL
208D00000X
General Practice Physician
Primary
27501
NE
Other
Enumeration date
06/29/2012
Last updated
09/14/2019
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