Organization
CAROLINE R TADROS MD, PROFESSION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY S STOREY CPC (OFFICE MANAGER)
(801) 387-2550
Entity
Organization
Contact information
Practice address
4403 HARRISON BLVD, SUITE #2855, OGDEN, UT 84403-3271
(801) 387-2550
(801) 387-2564
Mailing address
4403 HARRISON BLVD, SUITE #2855, OGDEN, UT 84403-3271
(801) 387-2550
(801) 387-2564
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
7359451-1205
UT
Other
Enumeration date
09/01/2010
Last updated
07/13/2012
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