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Individual

DR. STEPHEN ANDREW REALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3700
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14119367
UT
207Q00000X
Family Medicine Physician
MED-PHYS-LIC-128178
MT

Other

Enumeration date
03/27/2020
Last updated
03/13/2025
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