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RICHARD FREDRICK STACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
8556 N HIGHWAY 38, HONEYVILLE, UT 84314-9720
(435) 881-0553
Mailing address
8556 N HIGHWAY 38, HONEYVILLE, UT 84314-9720
(435) 881-0553

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13789662-4405
UT

Other

Enumeration date
03/20/2024
Last updated
03/20/2024
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