Individual
STEPHANIE PLUNKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1868 W 9800 S, SOUTH JORDAN, UT 84095-4713
(801) 433-2873
(801) 433-5734
Mailing address
1868 W 9800 S, SOUTH JORDAN, UT 84095-4713
(801) 433-2873
(801) 433-5734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5212615-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5212615-1205
STATE LICENSE NUMBER
UT
Enumeration date
05/25/2006
Last updated
05/27/2021
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