Individual
MR. STEPHEN PATRICK ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 VILLAGE DR DEPT 2801, OGDEN, UT 84408-3674
(801) 626-6000
Mailing address
1655 E 2700 S, SALT LAKE CITY, UT 84106-3674
(301) 520-8933
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
06/01/2015
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