Individual
JACOB PATRICK STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2239 W FALCONER CIR, FARMINGTON, UT 84025-2905
(801) 682-7183
Mailing address
2239 W FALCONER CIR, FARMINGTON, UT 84025-2905
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8841794-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2012
Last updated
01/23/2017
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