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Individual

DR. STUART ELIOT WILLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1493 LOWELL AVE, PARK CITY, UT 84060
(435) 655-7970
Mailing address
PO BOX 58108, SALT LAKE CITY, UT 84158-0108
(801) 581-3998

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
371707-1205
UT
208100000X
Physical Medicine & Rehabilitation Physician
Primary
371707-1205
UT

Other

Enumeration date
10/17/2006
Last updated
12/20/2021
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